Medical Billing & Coding Services for Wisconsin Providers
Medical Billing in Wisconsin for Providers & Practices
Our medical billing & coding services are provided to practicing providers and groups in Wisconsin 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 Wisconsin, 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 Wisconsin Providers choose is Outsource Management Group, LLC.
Medical Billing in Wisconsin for Medicare Providers
Medicare is a federal insurance program that primarily benefits seniors. While most people are automatically included in the program when they turn 65, others who may apply for enrollment are people below the age of 65 who have been eligible for Social Services Disability payment for over 24 months, and patients of any age with end stage renal disease.
The program may cover inpatient hospital care or medical costs, and will pay up to 80% of a physician’s fee. Coinsurance and deductibles are the responsibility of the patient, as are prescription drugs. For this reason, many people opt for Medicare supplement plans that offer wider coverage.
In Wisconsin, the preferred provider organization for such plans is Anthem Blue Cross and Blue Shield. Of the 948,489 beneficiaries in the state in 2012, almost 300,000 are involved in advantage plans Whether or not beneficiaries are involved in advantage plans, however, the state of Wisconsin requires some benefits to be available to patients, even if their expenses are not covered by the program.
These include a limited stay in a nursing facility; home healthcare visits; kidney disease treatment; diabetes treatment; chiropractic care; hospital and ambulatory surgery center charges; anesthetics for dental procedures; breast reconstruction; colorectal cancer screening; certain other clinical cancer trials; and catastrophic prescription drugs.
One of the issues that medical practitioners have with the program is that the Centers for Medicare and Medicaid Services (CMS) will only pay what they deem to be reasonable charges for services that they have determined as necessary. This means that when a physician’s fee is higher than that approved by the CMS, that provider will have to write off the actual charge and the approved fee as a loss.
While this has caused many providers to opt out of the program, it doesn’t mean that providers cannot benefit from it at all. Participating physicians are paid fees 5% higher than non-participants, and have the advantage of being listed in a directory made available to beneficiaries upon request. And, with proper billing and coding, a practice that accepts beneficiaries doesn’t have to lose revenue.
It’s a simple matter of physicians familiarizing themselves with the coding system used by the CMS to process claims and determine reimbursements. Seemingly trivial things such as the addition of the appropriate modifiers to codes for procedures can make a difference that adds up to thousands of dollars a year. Proper documentation is also essential, as many claims are dismissed out of hand simply because the physician couldn’t take the time to organize his paperwork.
The CMS has made it easy to access coding and billing guidelines on their website. Publications on the subject are also available from the American Medical Association.
Partner with the leading medical billing firm & increase your revenue now!
By utilizing our medical billing for Wisconsin 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 Wisconsin 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!
