Medical Billing & Coding Services for Oregon Providers
Medical Billing in Oregon for Providers & Practices
Our medical billing & coding services are provided to practicing providers and groups in Oregon 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 Oregon, 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 Oregon Providers choose is Outsource Management Group, LLC.
Medical Billing in Oregon for Medicare Providers
The federal-funded Medicare program provides healthcare insurance for seniors, qualified disabled persons, and patients with end stage renal disease. The program may cover hospital insurance (Part A) or outpatient medical insurance (Part B). Approved private companies may also help provide coverage for prescription medication (Part D), or all of the above aspects of healthcare (Part C).
In Oregon, the state government makes it easy for beneficiaries to enroll in the program, and offers them resources to keep them informed and updated. There are currently 653,905 beneficiaries in the state – that’s 17% of the population, and the number is expected to rise with time. Physicians, who give services to these beneficiaries ought to be familiar with the billing and coding required when making claims of the program so that they can receive the proper reimbursement for their work.
The Centers for Medicare and Medicaid Services (CMS) employ three levels of codes to classify medical services and products: the numeric Current Procedural Terminology (CPT) codes as established by the American Medical Association (AMA); the alphanumeric codes for products and services not included in the CPT codes; and carrier-specific codes that fall under neither of the other two levels. The coding system is updated annually to keep up with current trends in the field of medicine, and guidelines for use are available from CMS and AMA – (pdf).
While the program is funded at the federal level, a large part of the decision-making with regards to what services are necessary and reasonable – and thus covered by this kind of insurance – is left to Local Coverage Determination (LCD), the policies of which are established by Medicare contractors. This means that the benefits covered, and the documentation required to justify them, may vary on a state to state basis. Noridian Administrative Services (NAS) is the pertinent contractor in Oregon, and physicians can approach them for information about what is applicable in the area.
Familiarity with the coding and the appropriate documentation that must accompany it is essential for physicians who want to file claims from the CMS. For instance, knowing when to use the code modifier -25, an indicator of separate evaluation and management services performed on the same day, can make all the difference between getting properly reimbursed or being called out on (and punished for) an unintentional case of fraud.
Given the importance of correct coding and billing, it is well worth a provider’s time and effort to keep abreast of the current codes – while the coding system is lengthy and complex, the CMS and other medical societies have made them incredibly easy to access. This, in connection with outsourcing your medical billing to specialists will ensure that you are being fully reimbursed for your services.
Partner with the leading medical billing firm & increase your revenue now!
By utilizing our medical billing for Oregon 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 Oregon 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!
