Prostheses Billing Services
NextGen Billing Solution offers specialized prosthetics billing services designed to tackle the most common billing challenges faced by prosthetic care providers. From navigating complex codes to managing frequent claim denials and delayed payments, these issues can be both frustrating and time-consuming. Our expert team handles the entire billing process—including coding, claims submission, and compliance—so you can focus entirely on patient care without the administrative burden.
NextGen Billing Solution’s Prostheses Billing Services
NextGen Billing Solution’s certified billing staff includes team members skilled in the complexities of prosthetic medical billing.
Prostheses Care is Complex For Several Reasons
The complexities of medical billing extend beyond standard services. Items like prostheses, orthotics, and durable medical equipment (DME) require precise coding and claim submission before insurers or government programs will provide reimbursement. Each payer has unique guidelines and rules regarding coverage and eligible circumstances, making it challenging for office staff to manage all the requirements efficiently. NextGen Billing Solution streamlines this process, ensuring accurate claims and reducing administrative burdens for healthcare providers.
Outsourcing Medical Billing And Coding
Partnering with a professional revenue cycle management (RCM) company like NextGen Billing Solution offers a stress-free approach to medical billing and consulting, helping healthcare providers maximize their revenue. Our certified billers have extensive experience handling prosthetic claims, and our entire team is trained in HIPAA compliance, ensuring that patient data remains fully secure.
Why Prostheses Medical Billing Should Be Outsourced
Even practices that handle routine exams and treatments benefit from having their billing managed by skilled professionals. When it comes to prosthetics—which may be customized for each patient—medical billing requires specialized expertise to ensure accuracy. Since each prosthetic can represent a high-value claim, proper coding is crucial to avoid significant revenue loss. The following are some factors that make prosthetic billing and coding particularly complex:
Fitting And Adjustment Appointments
NextGen Billing Solution, billers handling prosthetics must note that coding for fitting and adjusting prostheses already includes the office visit. Therefore, they should avoid billing separately for a visit within the same claim.
Overlapping Codes
Accurate billing for prosthetic services requires careful distinction between the provision of the device and the time a skilled clinician spends training the patient. With NextGen Billing Solution, providers can correctly identify and code each service instance and apply modifiers for reduced services, preventing duplicate payments. Improper coding can lead to over-billing and potentially expose the provider to compliance or fraud issues.
Uncoded Products
Not all prosthetic devices have been assigned unique billing codes, making it challenging for medical coders and billers to submit accurate claims. With a NextGen Billing Solution, providers can efficiently identify the correct codes, reducing time spent on research and preventing labor costs from surpassing the claim’s value.
NextGen Billing Solution Maximizes Reimbursement and Protects Your Revenue Stream
Top Dedicated Experienced Billers
NextGen Billing Solution is a comprehensive prosthetics billing and revenue cycle management (RCM) provider with a team of skilled and experienced billers. Our advanced approach to medical billing leverages proprietary billing software that keeps all codes up to date, ensuring that claims are accurately submitted and minimizing the risk of rejections and denials.
Correct Coding Resubmission
When claims are rejected or denied, our billers swiftly determine what went wrong and get the complete information and correct coding resubmitted. This can take hours of office staff time when it is handled by less experienced coders and billers, resulting in even more lost revenue due to labor costs. Outsourcing to a professional prostheses medical billing company gets you the maximum reimbursement and least unpaid claims.
In addition to comprehensive medical billing, NextGen Billing Solution offers payer credentialing management, compliance audits, annual payer adjustments and reimbursements, bill collection, and more. Our prosthetics billing services are fully customizable to meet the needs of clients of any size. Request a free demo today to discover how we can help streamline your revenue cycle management and maximize your income.