Surgical Billers

Surgical Billers provides comprehensive surgical billing, coding, accounts receivable and practice management services to surgical practices across the country. Surgical billing is a challenge, with each specialty having it's own unique coding and billing requirements. Today's surgeon faces many pressures in the healthcare environment, including managed care, decreasing reimbursement, compliance regulations and increasing costs. Due to these pressures it has become increasingly difficult to practice medicine and manage the billing operations of the practice. Our staff of certified coders and reimbursement specialists have extensive surgical billing and accounts receivable management experience to effectively oversee the billing operations of your practice.

Outsourcing insurance and patient billing reduces overhead costs. Outsourcing gives your practice the advantage of having full time billing staff without full time salaries, additional costs of benefits, sick and vacation time. Patients can contact our office with any insurance questions or concerns, leaving the medical staff free for other duties.

How our office works with yours to provide seamless transition:

• We provide billing software accessible anywhere there is an Internet connection. Your office can have access at all computers connected online, as well as other sites. Each staff member is assigned a user name and password, maintaining HIPAA compliance. You may choose to use our system exclusively in your office or to integrate it with your current system.
• Transfer of patient and billing information which works best for your office. Patient date exchange has to be easy on your staff or it brakes down and becomes a tiresome task. For this reason, we have several modes of data exchange and suggest the one best suited for your office. Initially we ask your staff to send us the complete surgical note along with the superbills, so our certified coders can code all billable procedures. We find that often surgeons miss billable procedures when completing the superbill. We ask for the OP notes so we can verify all charges are correctly submitted for payment. Our highly trained coders make it their mission to code all procedures to the highest reimbursement rate allowed. Once the coders have a complete understanding of the procedures commonly preformed in the office, the office superbill will be reviewed to make sure these charges are accurate and the OP note will no longer be necessary unless requested by our coders.
• Tracking all charges until paid which is done in several ways. First we send our claims through a pre-audit check. This is a preliminary check of the claim before it is sent out to the insurance carrier. If the claim passes the pre-audit, it then is batched by payor for electronic submission, if available for that payor. The batch submissions are tracked to make sure the claim was received and accepted by the payor. Then based on the payment cycle of each payor, our reimbursement specialists track each claim through the adjudication process until payment has been issued.
• Posting payments received from insurance carriers and patients, as well as following up on any special requests from your office. Special requests may include a payment plan is setup for a patient, professional courtesy billing, and any arrangements made with the patient in the office.
• Responding to patient calls, including questions regarding their billing, insurance benefits, payment plans, co-payments or deductibles or other billing questions. We take particular care in responding to patient calls. We act as your billing office so it appears seamless between our office and yours.
• Practice Reports: MedBillers provides month end reporting reflecting the prior month charges, income, adjustments and change on the accounts receivable for that month billing period. In addition to these monthly reports, MedBillers provides a fee schedule review to make sure the practice’s fees are set at the appropriate rate to receive the highest reimbursement without excessive adjustments. Periodical coding and billing audits to verify the coding is appropriate and complaint with government regulations. Special reports are available for additional fees.

Diana Newhouse, Company President

Diana Newhouse oversees our network of certified surgical coders and reimbursement specialists. Ms. Newhouse has over 12 years of experience in the healthcare industry specializing in operations management, regulatory compliance, information system design and implementation, third party credentialing, and strategic planning. She has advised medical practices regarding financial management, insurance reimbursement and healthcare compliance. Ms. Newhouse founded MedBillers in 1992 specializing in healthcare reimbursement, medical office management., coding and practice management services to medical and surgical practices.

Each surgical practice is unique, which is why we customize a billing plan to meet your exact billing needs. We can provide any of the billing and administrative services your practice needs to operate efficiently. We work hard to provide the best level of billing services, to meet your needs, at a cost that is easily affordable. There are no setup fees or additional service fees. Service charges are only generated when payments are made by the insurance carriers and/or patient payments, so it is in our best interest to see claims are paid promptly. We are tenacious in our collection process with healthcare insurers, following up constantly on unpaid claims. At the same time, we are caring in our interactions with patients. Our goal is to provide outstanding surgical billing services, to eliminate the insurance billing burdens from your office and to assist patients with benefit information and inquiries. If this sounds like the kind of billing service your practice needs, please contact our office. Contact us to discuss how Surgical Billers can assist your practice with insurance and patient collections.