Sleep Medicine Billing Services
Do you find billing for sleep medicine treatments difficult because of complex coding procedures? Is this leading to erroneous claims filing resulting in denials? Look no further! Our HIPAA-compliant sleep medicine billing services provide accurate coding and billing, resulting in timely and full reimbursement for rendered services.
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How We Help You Streamline Sleep Medicine Billing for Your Practice
Our service is backed by a team of expert billers and coders certified by the American Academy of Professional Coders (AAPC) and the American Medical Association (AMA). They have a stringent quality audit process in place to ensure correct code usage for various sleep medicine procedures. Banking on their service accuracy and advanced billing tools, we streamline and improve billing services for all types of sleep medicine conditions. Here's how our services help you streamline the process:
- Leverage sleep medicine-specific billing software integrated with digital systems such as EMR, EHR, and EDI to facilitate electronic claims submission and payments for an end-to-end digital billing workflow.
- Verify patient information (demographics, medical history, physical referrals, Coordination of Benefits details) and insurance provider information (name, policy number, group number, coverage details, effective dates, expiration dates) to ensure accurate claims documentation.
- Check whether any treatment requires prior authorization from the insurance payer and obtain approval before the healthcare provider delivers the service.
- Rigorous training and refresher programs for our team to stay on top of the fee schedules, billing guidelines, claims filing procedures changes, etc., for payers, including government-aided programs such as (Medicare and Medicaid), private insurance payers (Aetna, UnitedHealthcare, Cigna), Employer-Sponsored Health Plans, Tricare, Veterans Affairs (VA) Health Care, and others.
- Maintain code specificity while billing for various sleep medicine procedures such as Continuous Positive Airway Pressure (CPAP), Oral appliance therapy, Cognitive-behavioral therapy for insomnia (CBT-I), Polysomnography (PSG), Multiple Sleep Latency Test (MSLT), Maintenance of Wakefulness Test (MWT), Light therapy, etc.
- Align claims filing documentation with the mandated ICD-10, HCPCS Level II codes, and CPT codes for procedures ( 95800-95811 for polysomnography (sleep study), 95805-95811 for multiple sleep latency testing (MSLT), and 95812-95813 for home sleep apnea testing (HSAT)).
- Adhere to regulatory requirements for different billing models for sleep medicine, including fee-for-service, value-based payment, episode of care, global, and capitation.
- Reconcile EOBs against services rendered and inform patients of their out-of-pocket expenses (deductibles, copayments, coinsurance) to avoid unpaid bills.
- Examine EOBs to summarize patients’ out-of-pocket expenses, including copayments, deductibles, and services not eligible for insurance coverage.
Our Comprehensive Sleep Medicine Billing Services
- Insurance verification
- Coding and billing
- Credentialing and provider enrollment
- Claims submission and management
- Electronic payment posting
- Denial management and appeals
- Accounts receivables (A/R) management
- Compliance monitoring and audits
- Reporting and analytics
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Finance and Accounting Tools We Specialize In
Local Client Testimonials
During the consultation, some of the issues we can discuss are:
- Your current sleep medicine billing processes, challenges, and we help you address those.
- How we specialize in billing for specific sleep medicine procedures
- How we maintain 100% compliance with dynamic billing and coding regulations (HIPAA, AMA) for sleep medicine services
- Our medical billing success stories for our clients
Why Choose Invensis as your Sleep Medicine Billing Company?
We are a leading sleep medicine billing service provider offering comprehensive billing solutions over 25 years. We have experience catering to diverse billing needs of sleep disorders centers, sleep clinics, sleep medicine physicians' practices, sleep therapy centers, home sleep testing services, and others. Our team comprises seasoned experts, including coders certified with CPC & CCS, billers certified with CPB, reimbursement specialists with CMRS, and more. We have leveraged their expertise to deliver customized, result-oriented sleep medicine billing solutions. Our services have helped our clients witness about a 98% clean claims rate, up to a 45-day reduction in A/R days, denials below 8%, and an estimated 95% net collection rate.
Benefits of Outsourcing Sleep Medicine Billing Services
- Increased Revenue:
Managing sleep medicine billing services can be challenging for healthcare providers. It often leads to revenue loss due to coding errors, delayed payments, and rejected claims. To overcome these challenges and increase revenue, healthcare providers can outsource sleep medicine billing services to Invensis.
With Invensis, you can access a team of skilled and experienced medical billing professionals who specialize in sleep medicine billing. Our team can help you streamline billing processes, increase clean claim rates, and ensure timely payments. This helps you maximize your revenue, reduce administrative burdens, and focus on providing quality patient care. - Improved Accuracy:
Managing the billing and coding procedures in the sleep medicine specialty can be tedious, especially for healthcare providers who do not specialize in it. Inaccurate coding or billing can result in rejected claims, delayed payments, and a significant impact on the revenue cycle. Healthcare providers can outsource their sleep medicine billing to sleep medicine billing services companies to improve accuracy and avoid financial losses.
By outsourcing your sleep medicine billing services to Invensis, you can ensure that your billing and coding procedures are accurate and up-to-date. Our team of experienced billers stays updated with the latest industry standards, ensuring that your claims are filed correctly the first time. We use state-of-the-art technology and processes to guarantee that your claims are error-free, leading to faster reimbursements and higher revenue for your practice. - Compliance with Regulations:
Healthcare providers specializing in sleep medicine must comply with numerous regulations, including HIPAA and CMS guidelines. Failure to comply can lead to significant financial penalties, damage to reputation, and even license suspension. It can be challenging for healthcare providers to keep up with changing regulations while providing high-quality patient care. In such cases, they can outsource to sleep medicine billing services companies to get the required assistance.
Invensis is a sleep medicine billing service providing company that ensures compliance with all the regulatory requirements. Our team of experts is trained to stay up-to-date with the latest regulations and guidelines. We take care of all the billing, coding, and claim submission processes while adhering to the highest levels of compliance. By partnering with Invensis, healthcare providers can focus on providing quality patient care without worrying about regulatory issues. - Increased Patient Satisfaction:
Healthcare providers understand the importance of patient satisfaction in today's competitive healthcare landscape. Patients want their healthcare experience to be seamless, and billing is a critical part of that experience. Sleep medicine practices face unique challenges when it comes to billing. This includes the need to submit claims to multiple payers and the complexity of billing for sleep studies.By outsourcing sleep medicine billing services to Invensis, healthcare providers can ensure timely and accurate billing, increasing patient satisfaction. Healthcare providers can benefit from our expertise in navigating the complexities of medical billing and coding regulations.
Trends in Sleep Medicine Billing
- Telemedicine:
The telemedicine trend has revolutionized the healthcare industry, particularly within sleep medicine billing. Healthcare providers can now remotely diagnose and treat sleep disorders through virtual consultations, significantly improving patient care. Invensis helps healthcare providers with expert sleep medicine billing services. This ensures accurate coding, timely reimbursements, and compliance with the latest regulations, allowing healthcare providers to focus on providing quality patient care. - Value-based Care:
Value-based care is an emerging trend within sleep medicine billing. It emphasizes the quality of patient outcomes over the number of services provided. Healthcare providers need accurate and efficient medical insurance billing services supporting their value-based care goals to adapt to this trend. Invensis enables healthcare providers to focus on delivering high-quality patient care while ensuring compliance and maximizing revenue. - Integration with EHR systems:
The trend of integrating sleep medicine billing with Electronic Health Record (EHR) systems is gaining momentum. It helps healthcare providers streamline billing processes by automating several tasks, reducing errors, and increasing efficiency. Invensis is a sleep medicine billing services company that helps healthcare providers navigate billing process complexities through EHR integration. This helps transform the entire healthcare billing process more seamlessly.
What Our Customers Say
We have been working with Invensis for the past two years, and they have helped us overcome many revenue cycle management challenges. The team often walks the extra mile to ensure that our needs are met.
Invensis has been our revenue cycle management healthcare outsourcing partner for the past 5 years. They have always delivered on their commitments, whether it is meeting our Service Level Agreement (SLA) or improving our billing process.
Invensis has been a great partner providing quality medical coding and billing services. The team is extremely responsive to every query we pose, and the turn-around time for deliverables is always as committed.
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