Financial process in healthcare from patient registration to final payment.
Credentialing with insurance networks is the verification of healthcare providers' qualifications to join and provide services within these networks.
Focus on Quality Care & Increase in Practice Collections and Revenue. Help to Decrease Administrative Burden.
Billing assessments and compliance ensure that healthcare billing practices adhere to legal and regulatory standards.
Starting a new medical practice requires securing financing, licensing, and a location, hiring staff, and ensuring compliance with healthcare regulations.
Ensures that our clients get paid faster by providing efficient Denial Management solutions to resolve.
Hospice and Chronic Care Management (CCM) billing are integral components of healthcare billing, each tailored to specific facets of patient care. Hospice billing focuses on specialized care for individuals with terminal illnesses, encompassing services like palliative care, pain management, and counseling. Accurate coding, incorporating relevant diagnosis and procedure codes, is crucial for hospice billing, with distinct processes for varying levels of care. Conversely, CCM services enhance care and coordination for patients with chronic conditions outside of face-to-face visits, involving documentation and reporting of non-face-to-face care coordination services. Specific Current Procedural Terminology (CPT) codes are assigned to CCM services, contingent upon patients meeting specific eligibility criteria. Common challenges across both billing realms include meticulous documentation, regulatory compliance, and coordination with healthcare providers. To navigate these complexities, some healthcare providers turn to specialized billing services like ORMBS, ensuring precise coding, streamlined claims submission, and adherence to unique regulations. In essence, while these billing approaches serve distinct patient care purposes, meticulous attention to documentation, coding accuracy, and regulatory compliance is pivotal to secure precise reimbursement for the invaluable services rendered to patients with complex healthcare needs. ORMBS, with its specialized staff and coding team, specializes in hospice and CCM billing, optimizing revenue outcomes.