Medical Billing and Coding in Mississippi

Healthcare practices around Mississippi may need to hire external companies to help improve their entire operations. One process they usually look for is medical billing and coding, which is a method that requires extensive knowledge of complex regulations and meticulous attention to detail. By outsourcing these services to specialized companies, Mississippi healthcare practices can achieve accuracy and efficiency in claims processing.

That’s why Practice Support provides quality solutions to improve your healthcare practice’s medical billing and coding operations. While we are based in Colorado, we serve clients nationwide because our main goal is to extend help to healthcare practices that need it.

Why You Should Hire Practice Support’s Medical Billing and Coding Services

Led by Veteran Clinicians

Our leadership team comprises seasoned clinicians who bring valuable insights and extensive industry expertise to the table. This strong foundation enhances our medical billing and coding services, making us a trusted partner for your Mississippi practice.

Improve Efficiency

Our solutions allow your staff to concentrate more on patient care by automating and streamlining the billing process—something not always available from other medical billing companies. We significantly reduce manual tasks by utilizing advanced software systems to ensure your practice operates smoothly and efficiently.

Increase Practice Earnings

We are committed to maximizing your revenue potential by minimizing errors and optimizing the claims process. Our medical billing in Mississippi focuses on reducing claim denials and increasing reimbursement rates, ensuring you receive every dollar you’re entitled to.

Ensure Compliance

We remain up-to-date with regulatory changes to help your practice maintain compliance and avoid costly penalties. Our expertise in medical coding provides a clear understanding of healthcare regulations, allowing your practice to function seamlessly within the legal framework.

Optimize Claim Tracking.

Our advanced tracking system offers transparency and timely updates on claim statuses, which helps minimize delays and denials. This proactive approach prevents administrative obstacles from disrupting your cash flow, making us a preferred choice among Mississippi medical billing and coding companies.

Get to Know Our 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.

Get to Know Mississippi’s Medicaid Program

Streamlined Billing with MississippiCAN and CHIP

Mississippi’s Medicaid program operates primarily through managed care organizations (MCOs) under the MississippiCAN (Coordinated Access Network) and CHIP programs. This system streamlines billing processes, reduces administrative burdens, and ensures timely reimbursements, helping healthcare providers maintain financial stability while delivering comprehensive care.

Expanding Access Through Telehealth Integration

Mississippi Medicaid has integrated telehealth into its reimbursement framework, allowing providers to offer virtual consultations, remote monitoring, and telemedicine services. This is particularly beneficial for reaching patients in Mississippi’s rural and underserved areas, enabling providers to expand their reach and improve access to care without requiring significant physical infrastructure.

Comprehensive Behavioral Health Billing Solutions

Mississippi Medicaid offers comprehensive billing options for behavioral health services, including mental health counseling, substance abuse treatment, crisis intervention, and integrated behavioral health within primary care settings. With a growing focus on mental health, providers can capitalize on these billing opportunities to meet increasing demand while ensuring consistent revenue streams.

Support for Home and Community-Based Services (HCBS)

Mississippi supports a wide range of HCBS through various Medicaid waivers, enabling providers to offer in-home care, personal assistance, and community-based services for individuals with disabilities, the elderly, and those with chronic conditions. These services are essential in a state with a significant rural population, ensuring consistent Medicaid funding and helping providers meet the diverse care needs of Mississippi’s residents.

Emphasis on Preventive Care and Long-term Patient Relationships

Mississippi Medicaid strongly emphasizes preventive care, reimbursing providers for services such as immunizations, well-child visits, cancer screenings, and routine health check-ups. This focus on early detection and prevention helps improve patient outcomes and allows providers to build long-term relationships with patients, ensuring regular Medicaid reimbursements.

Hire Practice Support to Experience Quality Medical Billing and Coding Services in Mississippi

Don’t let your Mississippi healthcare practice’s medical billing and coding operations falter. Hire Practice Support today to improve your operations. We have a team of expert medical billers and coders. We can also personalize our process with your healthcare practice to achieve desirable results.

Call us today if you have questions about our company, like how we conduct medical coding in Mississippi.

Schedule a consultation