Medical Billing & Coding Services for South Carolina Providers
Medical Billing in South Carolina for Providers & Practices
Our medical billing & coding services are provided to practicing providers and groups in South Carolina 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 South Carolina, 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 South Carolina Providers choose is Outsource Management Group, LLC.
Medical Billing in South Carolina for Medicare
Medicare is as an important issue for physicians as it is for the program’s beneficiaries. Physicians who accept patients with this kind of insurance face reams of paperwork, limited coverage of their services, and a risk of not being suitably compensated for their work. In addition to that, the slightest mistake in filing a claim for reimbursement can cause a doctor to be accused of committing federal fraud.
Given this, and the imminent threat of budget cuts for the program, it’s not really surprising that many doctors limit the number of beneficiaries they treat. Some even opt out of the program altogether.
For doctors who accept Medicare, it is absolutely necessary to become familiar with the program’s policies so as to receive proper reimbursement and avoid unintentionally fraudulent practices.
Whether physicians are participants in the program or are non-participating individuals, they should be aware of the fact that this kind of insurance will pay them only 80% of an approved fee. This fee is often less than the amount they would normally charge for a particular service, and the remainder must be paid by the patient or a secondary insurance provider.
BlueCross BlueShield of South Carolina offers Preferred Provider Organization (PPO) plans for beneficiaries in the state. Local physicians would do well to check if their beneficiary patients are enrolled in such an advantage plan.
A large part of determining what a physician will receive in terms of reimbursement is dependent on correct coding and billing. The Centers for Medicare and Medicaid Services (CMS) uses a code to systematically classify healthcare services rendered to their beneficiaries. For a doctor to be reimbursed, services and medical products given to patients must be deemed reasonable and necessary by the CMS. The exact amount of payment given depends on the amount of time spent administering a specific service; the resources used by a physician during the process; and the difficulty of decision making involved.
Doctors can lose a lot of money by undercoding, or underestimating the value of the services give. This is easily avoided by becoming familiar with the current codes and the guidelines for their use, which are available on the CMS website. The American Medical Association also provides documents on the subject.
While the program is administrated on a national level, exact coverage for beneficiaries may vary from state to state. This is because the CMS relies to some extent on Local Coverage Determinations (LCDs) to make state policies regarding the services and products covered in the area. The CMS contractors responsible for this in South Carolina are Palmetto GBA, the Wisconsin Physicians Service Insurance Corporation, and CGS Administrators. Doctors may apply to these contractors for information on local policies.
Partner with the leading medical billing firm & increase your revenue now!
By utilizing our medical billing for South Carolina 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 South Carolina 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!
