Medical Billing & Coding Services for Massachusetts Providers
Medical Billing in Massachusetts for Providers & Practices
Our medical billing & coding services are provided to practicing providers and groups in Massachusetts by utilizing the latest in information transfer technology!
The medical billing company you choose to handle your medical billing and management functions should be experts at what they do, and more importantly, experts at increasing provider revenue… not just a company that is close to your practice in Massachusetts, but someone who genuinely cares about you, your revenue and your practice.
With successful and satisfied clients all over the United States… the medical billing company that most successful Massachusetts Providers choose is Outsource Management Group, LLC.
Massachusetts has an informative user friendly website with BlueLinks. This is a Blue Cross Blue Shield website especially for providers. One informative tool within BlueLinks website is a Provider Focus News tab. Within this link providers can gain access to a number of new useful pieces of information and how changes that the industry makes can affect a providers bottom line and the way to implement upcoming changes.
Within the BlueLinks provider portal, a provider can find information regarding how to code certain claims. As an example, on how to correctly code for fracture patients being treated. When billing patients receiving active treatment of a new fracture from services they receive once active treatment is completed. Your office notes should also indicate whether the fracture is due to a pathological condition (such as osteoporosis) or a traumatic injury since there are different codes for each fracture type.
Proper claim coding of new fractures ensures that we receive an accurate rating for the HEDIS osteoporosis measure, which rates the care management for women over the age of 67 who had a newly diagnosed fracture. Incorrectly coded claims result in numbers being mistakenly included or excluded from the measure.
When your practice has a patient that you are treating for a newly diagnosed pathological fracture and the patient is receiving active treatment for the fracture, IE: surgical treatment, emergency room encounter or an evaluation and treatment by a new physician then the pathological fracture codes from subcategory 733.1 should be utilized.
If your practice is treating a patient in the aftercare stage of a pathological fracture, and the patient has completed active treatment of the fracture and is receiving routine or follow-up care during the healing or recovery phase then the aftercare codes from subcategory V54.2 should be utilized.
If your practice has a newly diagnosed traumatic fracture and the patient is receiving active treatment for the fracture, IE: surgical treatment, emergency room encounter, evaluation and treatment by a new physician then acute fracture codes from category 800-829 should be utilized.
If your practice is treating a patient in the aftercare phase of a traumatic fracture and your patient has completed active treatment of the fracture and is receiving routine or follow up care during the healing or recovery phase, then the aftercare diagnosis codes from subcategory v54.1 should be utilized.
Blue Cross Blue Shield of Massachusetts, BlueLinks for providers portal is an informative tool that providers can access to help in the coding and submissions of their claims.
Partner with the leading medical billing firm & increase your revenue now!
By utilizing our medical billing for Massachusetts physicians you are taking the first step to increasing your revenue. As your business partner, we become a seamless part of the daily function and overall financial health of your practice. We take great pride in continually verifying that our Massachusetts providers are being reimbursed for everything they deserve. Contact us today if you’re working long, hard hours and tired of needing more revenue. We will become your partner and guide you to a better bottom line!
