From experience we understand that every practice and many times every state has its own unique set of challenges.
Our wide variety of billing expertise broadens our understanding, allowing us to see benefit from the commonalities. This is why EMB welcomes all specialties.
Allergy and Immunology continues to be a growing specialty in the medical field. Medical billing for Allergy and Immunology professionals is complex and requires trained billing professionals to help ensure accurate and timely reimbursement.
Allergy and Immunology billing and coding guidelines differ among individual insurance companies. The staff at Express Medical Billing has great knowledge and understanding of the billing guidelines for each insurance company, from Medicare and Medicaid through all commercial payers.
Express Medical Billing has experience billing for skin testing, allergen immunotherapy, pulmonary function testing, cluster and rush immunotherapy, food sensitivity testing, allergy injections, drug allergy desensitization, immunoglobulin replacement therapy, patch testing and many other procedures.
Express Medical Billing is well-versed in the distinctions of allergy and immunology billing and coding and will work with your practice to help identify problem areas. These may include the correct use of modifiers and units billed for each procedure. We provide a partnership to our allergy and immunology providers to inform your practice of the latest billing processes and procedures. Our team of medical billing specialists will manage all billing aspects for your allergy and immunology practice to help ensure you receive proper compensation for services provided.
Cardiology providers offer a wide range of services, which requires extensive medical billing expertise. For example, a recent Medicare Fee-For Service (FFS) improper payment report showed that cardiovascular stents had an improper payment rate of 10.7%, with a projected improper payment amount at approximately $352 million. This is one of the many services that cardiologists offer. If your medical billing staff is not up-to-date with the billing requirements for the various cardiology services, you may be at risk for claim denials, overpayment recoveries, or audits.
Express Medical Billing has experience with billing vascular, interventional, and cardiothoracic surgery. We also have a wide range of knowledge on billing specifics for stents, balloons, and angioplasty. Just as well, our knowledge extends through diagnostic testing such as nuclear, cardiac echo, stress tests, holter monitor, and EKG. We partner with our cardiology providers to ensure appropriate coding, modifier application and general medical billing procedures.
Express Medical Billing is well-versed in the distinctions of cardiology billing and will work with your practice to help identify problem areas such as the correct use of modifiers and documentation requirements. We partner with our cardiology providers to educate your practice on the latest billing processes and procedures. Our team of medical billing specialists will manage all billing aspects for your cardiology practice to help ensure you receive proper compensation for services provided.
A recent study by the Centers for Medicare & Medicaid Services (CMS) found that the Medicare Fee-For Service (FFS) improper payment rate for chiropractic services was 51.7%, representing approximately $300 million in improper payments. The most common reason for improper payments is insufficient documentation to support the services billed. Our medical billers work diligently to maintain current knowledge of documentation requirements and partner with our chiropractic providers to help prevent denied claims and overpayment recoveries. We understand the accurate usage of relevant modifiers and work with providers to ensure the proper services are identified.
Many chiropractic practitioners utilize an alternative approach that combines manual therapies with manipulation procedures. Understanding the complexity of therapy billing is crucial for proper reimbursement. Additionally, many insurers have plan-of-care limitations and benefit restrictions that can significantly impact patient billing. Express Medical Billing is aware of these common chiropractic billing challenges and will help your practice develop solutions to keep your patients happy and informed as well as streamline your billing.
Express Medical Billing is well-versed in the distinctions of chiropractic billing and will work with your practice to help identify problem areas such as the correct use of modifiers and documentation requirements. We partner with our chiropractic providers to educate your practice on the latest billing processes and procedures. Our team of medical billing specialists will manage all billing aspects for your chiropractic practice to help ensure you receive proper compensation for services provided.
Many private practice physicians operating in a hospital setting today do not have dedicated offices. These physicians are providing a necessary service to patients in the hospital and are often faced with a fast paced schedule that does not leave room for extra administrative tasks, especially when many hospital-based providers must do these tasks from their home.
Express Medical Billing recognizes this provider specialty and understands that hospital-based providers need to have fast, accurate reimbursement with as few billing tasks to complete as possible. Our solutions provide many ways to share information and communicate with ease. This communication allows our hospital-based providers to use methods that are most convenient so the focus can be on their patients. The quick transfer of information and administrative tasks would be without hassle.
For example, we offer a secure scan folder which can send over any information directly from your desktop to ours. Express Medical Billing is well-versed in the distinctions of hospital-based provider billing and we will work with your practice to help identify problem areas such as the correct use of modifiers and documentation requirements. We partner with our hospital based providers to educate your practice on the latest billing processes and procedures. Our team of medical billing specialists will manage all billing aspects for your hospital based practice to help ensure you receive proper compensation for services provided.
Infectious Disease billing can be challenging due to its high level of complexity. Express Medical Billing has a vast understanding of infectious disease services and procedures. We are experienced with the billing guidelines for Infectious Disease such as the proper rules for sequencing, specificity and granularity to obtain correct processing and payment of your claims.
Express Medical Billing is well-versed in the distinctions of infectious disease billing and will work with your practice to help identify problem areas such as the correct use of modifiers and documentation requirements. We partner with our hospital-based providers to educate your practice on the latest billing processes and procedures. Our team of medical billing specialists will manage all billing aspects for your infectious disease practice to help ensure you receive proper compensation for services provided.
Intensive care physicians are an integral part of private practice hospital billing. These providers render critical care services to the critically ill or injured patients. Express Medical Billing is knowledgeable of the specific billing criteria associated with billing time-based critical care services. Additionally, intensivists can perform specific procedures such as central line placement, thoracotomy, and intubation that require expertise to ensure proper reimbursement. Understanding the correct use of modifiers and place of service is essential for your claims to process quickly and accurately.
Express Medical Billing is well-versed in the distinctions of intensive care billing and will work with your practice to help identify problem areas such as the correct use of modifiers and documentation requirements. We partner with our hospital-based providers to educate your practice on the latest billing processes and procedures. Our team of medical billing specialists will manage all billing aspects for your intensive care practice to help ensure you receive proper compensation for services provided.
Internal medicine brings a new variety of diagnoses and procedures to the medical billing field. Express Medical Billing has the experience to handle the complexity of the claims for this specialty.
Primary Care practices across the nation are facing challenges more than ever when billing their services to government and commercial payers. Not only is the patient left with higher rates of responsibility due to rising deductibles and copays, but insurers are overwhelming practices with limited networks, probe audits and documentation requests. Express Medical Billing is ready to help you find the right solution to overcome these hurdles.
EMB is knowledgeable in the most current billing options specifically designed to provide primary care physicians with the tools to increase their profitability along with augmenting patient care.
Express Medical Billing is well-versed in the distinctions of primary care billing and we will work with your practice to help identify problem areas such as the correct use of modifiers and documentation requirements. We partner with our hospital based providers to educate your practice on the latest billing processes and procedures. Our team of medical billing specialists will manage all billing aspects for your primary care practice to help ensure you receive proper compensation for services provided.
Nephrology practices require unique resources to properly manage their medical billing. The many services nephrologists perform all require complex knowledge and diligent follow-up to ensure proper payment. Many complications in nephrology billing stem from dialysis services provided in the hospital setting. We know the correct CPT codes to use as well as the appropriate modifiers required to overcome these challenges.
Another unique hurdle for nephrologists is payment for ESRD services under the monthly capitation payment (MCP). We have developed an easy to use and efficient system to accurately track dialysis visits. This also ensures the proper coding for your MCP services are billed. This saves our nephrology providers time and provides peace of mind for receipt of accurate reimbursement for all dialysis visits completed each month. We also ensure proper billing of the less common ESRD services such as transient patients, patients who have changed their MCP physician during the month, and more.
Express Medical Billing is well-versed in the distinctions of nephrology billing and will work with your practice to help identify problem areas such as the correct use of modifiers and documentation requirements. We partner with our nephrology providers to educate your practice on the latest billing processes and procedures. Our team of medical billing specialists will manage all billing aspects for your nephrology practice to help ensure you receive proper compensation for services provided.
Operating a practice as a nurse practitioner entails specific challenges that other physician-based practices may not have. Express Medical Billing is experienced in ensuring proper contracting, can evaluate your payer mix to ensure maximized reimbursement, and help as your partner to ensure compliance with various regulations.
Express Medical Billing is well-versed in the distinctions of nurse practitioner billing and will work with your practice to help identify problem areas such as the correct use of modifiers and documentation requirements. We partner with our nurse practitioner providers to educate your practice on the latest billing processes and procedures. Our team of medical billing specialists will manage all billing aspects for your nurse practitioner practice to help ensure you receive proper compensation for services provided.
Express Medical Billing partners with a number of pain management and physical medicine providers. This specialty covers many different services which require complex medical billing knowledge to ensure maximized reimbursement. For example, a major joint injection performed with ultrasound guidance is billed with a different code than when performed without ultrasound guidance. This is a result of changes to the CPT code sets made in 2016. Our dedication to maintaining current knowledge has enabled our providers to prepare for the changes such as this before they happen. Our current knowledge of pain management billing helps prevent avoidable claim denials and ensures timely reimbursement of services.
Express Medical Billing is well-versed in the distinctions of pain management billing and will work with your practice to help identify problem areas such as the correct use of modifiers and documentation requirements. We partner with our pain management providers to educate your practice on the latest billing processes and procedures. Our team of medical billing specialists will manage all billing aspects for your pain management practice to help ensure you receive proper compensation for services provided.
Podiatry providers face many challenges surrounding coverage policies that can vary between payers. In order to perform billing tasks for podiatry practices, it is important to understand the complex rules and guidelines that insurance companies use to process claims. Express Medical Billing has knowledge of podiatry billing trends and policies. We utilize this information to help maximize your practice’s reimbursement. We understand the importance of the use of proper modifiers, correct coding based on the place of service, as well as the importance of medical necessity to support each procedure based on the different guidelines across individual insurance companies.
Express Medical Billing is well-versed in the distinctions of podiatry billing and will work with your practice to help identify problem areas such as the correct use of modifiers and documentation requirements. We partner with our podiatry providers to educate your practice on the latest billing processes and procedures. Our team of medical billing specialists will manage all billing aspects for your podiatry practice to help ensure you receive proper compensation for services provided.