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 many specialties.
Allergy and Immunology is a growing specialty, recognized for its unique medical billing protocols. A trained billing professional helps ensure accurate and timely reimbursement. In this specialty, billing and coding guidelines often differ among individual insurance companies. Express Medical Billing maintains an understanding of the variations in billing for Medicare, Medicaid, and all commercial payers.
EMB’s billers are experienced in 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. Staff is also well-versed in the distinctions of allergy and immunology billing and coding and will work with each practice to help clarify best practice for billing policy compliance. These may include the correct use of modifiers and units billed for each procedure.
Express Medical Billing provides a partnership with its allergy and immunology providers to inform each practice of the latest billing processes and procedures. EMB’s team of medical billing specialists will manage all billing aspects for each allergy and immunology practice to help ensure providers receive proper compensation for services provided.
No specialty has seen a more significant shift towards the use of telehealth in these last few years than behavioral health providers. This change has been beneficial in many ways, but it has not come without notable changes to billing procedures.
With telehealth, there is not a single guide that all insurance payors follow. These variations across payors are extensive and require constant monitoring. With telehealth, providers need to make note of modality, duration, diagnosis, care provided, and proof of informed consent. Avoiding security risks and possible technical issues are more items for behavioral health providers to maintain.
Express Medical Billing provides a partnership with its behavioral health providers to inform each practice of the latest billing processes and procedures. EMB’s team of medical billing specialists will manage all billing aspects for each behavioral health practice to help ensure providers receive accurate reimbursement for services provided.
Cardiology providers offer a wide range of services, which requires extensive medical billing expertise. If an office’s medical billing staff is not current with the latest billing requirements for cardiology services, a provider may be at risk for claim denials or overpayment recoveries that could be avoided.
Express Medical Billing has expertise in billing vascular, interventional, and cardiothoracic surgery. Staff is experience in billing for stents, balloons, and angioplasties as well as various types of diagnostic testing such as nuclear, cardiac echo, stress testing, Holter monitor, and EKG. Express Medical Billing is well-versed in the distinctions of cardiology billing and will work with each practice to help clarify best practice for billing policy compliance, such as the correct use of modifiers and documentation requirements.
Express Medical Billing partners with its cardiology physicians to provide appropriate coding, modifier application, and the latest in general medical billing procedures. EMB’s team of medical billing specialists will help to manage all aspects of cardiology billing to help ensure proper compensation for services provided.
Chiropractic providers have been found to experience improper payment at an exceptionally high rate. The most common reason for improper payments is insufficient documentation to support the services billed. At Express Medical Billing, medical billers work diligently to maintain current knowledge of documentation requirements and partner with chiropractic providers to help prevent denied claims and overpayment recoveries. Express Medical Billing understands the accurate usage of relevant modifiers and work with providers to ensure the proper services are identified and billed.
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 each practice develop solutions to keep patients happy and informed while streamlining the billing process.
Express Medical Billing partners with its chiropractic providers to offer appropriate coding, modifier application, and the latest in general billing procedures. EMB’s team of billing specialists will manage all aspects of chiropractic billing to help ensure proper compensation for services provided.
Endocrinology providers offer a wide range of services, which requires medical billing expertise. If an office’s medical billing staff is not current with the latest billing requirements for endocrinology services, a provider may be at risk for claim denials or overpayment recoveries that could be avoided.
Express Medical Billing partners with its endocrinology physicians to provide appropriate coding, modifier application, and the latest in medical billing procedures. EMB’s team of medical billing specialists will manage all aspects of endocrinology to help ensure proper compensation for services provided in a timely manner.
Gastroenterology providers offer a wide array of services, as their specialty encompasses any disorder that may occur along the alimentary canal. The broadness of the services requires extensive medical billing expertise to establish best billing practice and maintain financial success. If an office’s medical billing staff is not current with the latest billing requirements for gastroenterology services, a provider may be at risk for claim denials or overpayment recoveries that could be avoided.
Express Medical Billing partners with its gastroenterology physicians to provide appropriate coding, modifier application, and the latest in medical billing procedures. EMB’s team of medical billing specialists will manage all aspects of gastroenterology to help ensure proper compensation for services provided in a timely manner.
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 minimal billing tasks. Providers have various options to share information and communicate with billers easily. Scan folders can be established securely send over any information directly from the provider’s desktop to the billers. EMB’s billers can gain access to hospital portals to pull patient records directly from the source. There are also available options to submit claims via a provider’s cellphone utilizing specialty programs.
Express Medical Billing partners with its hospital-based providers to offer appropriate coding, modifier application, and the latest in medical billing procedures. EMB’s team of medical billing specialists will manage all aspects of hospitalist services to help ensure proper compensation for services provided in a timely manner.
Infectious disease billing can be challenging due to its high level of complexity. Express Medical Billing has detailed knowledge of available infectious disease services and procedures. When submitting claims, EMB maintains the proper rules for sequencing, specificity, and granularity to obtain claim approval the first time. Providers have various options to share information and communicate with billers directly including the ability to submit claims via a provider’s cellphone utilizing specialty programs. EMB’s billers can also gain access to hospital portals to pull patient records directly from the source.
Express Medical Billing partners with its infectious disease physicians to provide appropriate coding, modifier application, and the latest in medical billing procedures. EMB’s team of medical billing specialists will manage all aspects of infectious disease to help ensure proper compensation for services provided in a timely manner.
Intensive care physicians are an integral part of private practice hospital billing. These providers render critical or emergent care services to severely ill or injured patients, and Express Medical Billing is knowledgeable in the criteria associated with billing time-based critical care services. Intensivists can perform specific procedures such as central line placement, thoracotomy, and intubation. Billing expertise is necessary to process claims quickly and ensure proper reimbursement with accurate reporting.
Express Medical Billing partners with its intensive care providers to offer appropriate coding, modifier application, and the latest in medical billing procedures. EMB’s team of medical billing specialists will manage all aspects of intensive care services to help ensure proper compensation for services provided in a timely manner.
Operating as a nurse practitioner entails specific challenges that other physician-based practices may not experience. Express Medical Billing has a background in proper contracting, can evaluate a practitioner’s payer mix to ensure maximum reimbursement, and would ensure compliance with regulations that are constantly evolving.
Express Medical Billing partners with its nurse practitioner to provide appropriate coding, modifier application, and the latest in medical billing procedures. EMB’s team of medical billing specialists will manage all aspects of nurse practitioner billing to help ensure proper compensation for services provided in a timely manner.
Internal medicine brings a new variety of diagnoses and procedures to the medical billing field that requires experience to handle the complexity of the claims. Primary care practices across the nation are facing billing challenges now more than ever. Not only is the patient left with higher rates of responsibility due to rising deductibles and copays, but insurers overwhelm practices with limited networks, probe audits, and frequent documentation requests. Express Medical Billing is ready to help any practice find the right solution to overcome these hurdles.
EMB also has experience in billing the service included in traditional care management and chronic care management. TCM and CCM billing has extensive documentation and other requirements to meet. Dedicated billers are an invaluable tool to ensure best submission practice the first time.
Express Medical Billing partners with its internal medicine providers to offer appropriate coding, modifier application, and the latest in medical billing procedures. EMB’s team of medical billing specialists will manage all aspects of primary care billing services to help ensure proper compensation for services provided in a timely manner.