Medical Billing and Coding in Arkansas
Healthcare practices usually tend to dozens of patients on most days, and their entire operations should never falter as it could cause delays and other inconveniences. These problems may even negatively affect patients, which should never happen within a healthcare facility. If your practice needs a more efficient medical billing and coding process, consider working with Practice Support.
Our skilled team of medical billers and coders is ready to collaborate with you to enhance your practice’s operational efficiency. By partnering with us, your staff can concentrate on delivering exceptional patient care. We strive to seamlessly integrate with your practice, helping you achieve the highest quality outcomes possible.
Why Choose Practice Support’s Medical Billing and Coding Services?
Led by Experienced Clinicians
Our leadership team, comprised of seasoned clinicians, brings valuable insights and extensive industry expertise. This foundation enhances our medical billing and coding services, making us a reliable partner for your Arkansas practice.
Enhance Efficiency
Our solutions allow your staff to dedicate more time to patient care by automating and streamlining the billing process—not something all medical billing companies offer. By leveraging advanced software systems, we reduce manual tasks, ensuring your practice operates smoothly and efficiently.
Boost Earnings
We work to maximize your revenue potential by eliminating errors and optimizing the claims process. Our medical billing in Arkansas focuses on reducing claim denials and improving reimbursement rates, ensuring you receive every dollar you deserve.
Ensure Compliance
Optimize Claim Tracking.
Practice Support’s Medical Billing and Coding Process
1. Confirming the Validity of the Patient’s Insurance
- Verification. Collect comprehensive insurance details from the patient, including photographs of both sides of their insurance card and any other necessary information.
- Eligibility Check. Validate the current status and coverage of the insurance plan via telephone or an online platform.
- Benefits Verification. Know the specifics of the plan’s coverage, such as co-pays, co-insurance, deductibles, and any needed pre-authorizations or referrals.
- Document Results. Record all verification details in the patient’s records for future reference.
2. Scheduling an Appointment With the Provider
- Patient Information. Confirm or gather the patient’s demographic information and medical history.
- Appointment Booking. Schedule the appointment using the practice management system based on the provider’s schedule.
- Reminders. Send reminders through phone, email, or text messages to reduce the likelihood of no-shows.
3. Delivering Care (First Occurrence)
- Patient Check-In. Update the patient’s personal and insurance information at the reception area.
- Consultation. The provider evaluates the patient and develops a diagnosis and treatment plan.
- Service Documentation. Record all services and procedures performed during the patient’s visit.
4. Updating Details in the EMR
- EMR Entry. Input details from the visit into the Electronic Medical Records system, including the patient’s medical history, diagnostics, and procedure notes.
- Code Assignment Preparation. Ensure documentation is accurate and comprehensive to aid in correct coding.
5. Practice Support Identifies the Codes
- Medical Coders. Certified coders review EMR data to assign the appropriate ICD, CPT, and HCPCS codes.
- Accuracy Check. Confirm that the assigned codes correctly reflect the services provided and adhere to payer guidelines.
6. Delivering Care (Second Occurrence, if Needed)
- Follow-Up Appointments. Schedule any necessary follow-up visits to ensure continuity of care.
- Continuation of Care. Completely document follow-up visits to ensure all services are recorded.
7. Claim Submission
- Claim Preparation. Compile detailed patient and service data for the claims process.
- Claim Validation. Use claim scrubber tools to detect and resolve potential errors before submission.
- Electronic Submission. Submit the claim through electronic data interchange (EDI) or a clearinghouse.
- Submission Confirmation. Record the confirmation receipt upon submission of the claim.
8. Claim Processing
- Payer Review. The insurance payer reviews the claim to ensure accuracy and eligibility.
- Determination. The payer decides to approve, partially deny, or reject the claim fully.
- Explanation of Benefits (EOB). Receive and log the EOB to document the payer’s decision regarding the claim.
9. Payment Posting
- Receive Payment. Collect payments from the insurance payer and any balances due from patients.
- Post Payments. Enter the payment information into the practice management system and update the patient’s account.
- Adjust Account Balances. Apply necessary adjustments according to agreements and update any remaining patient balances.
10. Follow-Up
- Denial Management. Investigate the reasons for denied or underpaid claims and take steps to resubmit or appeal as needed.
- Patient Billing. Send billing statements for balances due and follow up on overdue accounts.
- Customer Service. Address any questions or concerns from patients or payers regarding billing or the services provided.
11. Reporting and Analysis
- Operational Reports. Generate reports that provide details on claim statuses, denials, payments, and accounts receivable to monitor financial health.
- Performance Analysis. Assess the efficiency of coding, billing, and collection processes to identify potential improvements.
- Compliance Audits. Conduct regular internal audits to ensure conformity with billing and coding regulations..
Understanding the Medicaid Program in Arkansas
Efficient Billing With Arkansas Works and PCMH
Arkansas Medicaid operates through the Arkansas Works program and Patient-Centered Medical Homes (PCMH), streamlining billing processes to reduce administrative burdens and ensure timely reimbursements. This approach helps providers maintain financial stability while focusing on delivering high-quality care.
Comprehensive Behavioral Health Billing
Arkansas Medicaid supports comprehensive billing codes for various behavioral health services, including therapy, substance abuse treatment, crisis intervention, and community-based mental health services. This allows providers to address the growing demand for mental health services while generating consistent revenue through Medicaid reimbursements.
Supporting Home and Community-Based Services (HCBS)
Arkansas Medicaid supports an extensive array of HCBS, enabling providers to offer in-home care, personal assistance, and community-based support for individuals with disabilities and the elderly. These services are crucial in a state with many rural communities, ensuring consistent Medicaid funding and helping providers meet the essential care needs of vulnerable populations.
Specialized Pediatric Care and Support
Arkansas Medicaid strongly supports specialized pediatric care, particularly for children with developmental delays, chronic conditions, and special healthcare needs. Providers can bill for various services, including therapies, early intervention programs, and comprehensive care plans, ensuring steady funding and the ability to offer comprehensive care to children in need.
Choose Practice Support's Medical Billing and Coding Services in Arkansas
Improve the efficiency of your Arkansas healthcare practice by choosing Practice Support’s expert medical coding and billing services. Our team is devoted to enhancing your operational efficiency, maximizing revenue, and ensuring compliance with ever-changing regulations. By outsourcing your billing and coding needs to us, you reduce administrative burdens and avoid costly errors.
Call us today for more details about how we do medical coding in Arkansas.
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