Otolaryngology Billing Services

Our certified professional coders (CPC) and certified professional billers (CPB) possess in-depth knowledge about the CPT codes, ICD-10 codes, E/M Codes, Modifier Codes, Place of Service Codes pertaining to the otolaryngology practice. They leverage their knowledge in ensuring accuracy and acceleration while billing for a wide range of otolaryngology specialties. It includes rhinology, neurotology, laryngology, head and neck surgery, and others. Our experts bank on a well-developed process framework based on the medical industry gold standards and top otolaryngology billing software to deliver exceptional billing services. Here is how we streamline and simplify billing for your practice: 

• Leverage digital assets like electronic data interchange (EDI), electronic health records (EHR), and electronic medical records (EMR) to accelerate electronic claims processing for otolaryngology services to all major payers.
• Collect patient information (demographic, SSN, physician referrals) insurance details, provider information, etc. 
• Verify the patient's insurance claim coverage to ensure that the services will be covered by the insurance provider. This helps our clients devise a tailored treatment plan, minimizing the chances of claims denials.
• Utilize the correct billing type required, such as Fee-for-Service Billing, Capitation Billing, Value-Based Billing, Telemedicine Billing, and more.
• Maintain code specificity while catering to otolaryngology billing requirements to capture the diagnosis and treatment of a wide range of disorders. These conditions are related to the ear, nose, and throat (ENT) and ear infections overing hearing loss, tinnitus, nasal congestion, sinusitis, allergies, sore throat, voice disorders, and head and neck cancers. 
• Submit accurate and clean claims to payers such as Medicare, Medicaid and private insurance companies such as Blue Cross Blue Shield, UnitedHealthcare, Aetna, etc.
• Pay special attention while factoring in other service cost components while documenting claims files, which include RVUs (Relative Value Units), Surgical Procedures, Diagnostic Procedures, global period, capitation, etc.
• Analyze EOBs to identify claims denial reasons, resolve discrepancies, and initiate appeals.
• Examine EOB details to get clarity on patients’ out-of-pocket expenses (coinsurance, deductibles, copayments).