What Does a Medical Billing Consultant Do?

Touseef Riaz

February 2, 2022

general practice billing codes

Before discussing what medical billing is for general practice, let us first discuss what a general practice actually is? General practice is a place where you can contact general healthcare facilities. This is the point where you will get the right support for getting the right kind of treatment and services. In general practices, there are General Practitioners (GPs).

Medical Billing Consultant for General Practice

Medical billing consultant for general practices job is as complex as other billings, but outsourcing medical billing consultant services from UControl Billing will ease your tensions in no time! These practitioners are highly skilled doctors who look after patients throughout their lives. They work as a team member of general practice to help you manage your well-being and health. The medical billing of general practice implies the repayment that the general practitioners get for providing patients with their services.

Medical Billing Consultant for General Practice

The medical billing services for general practice should be carried out in a clear and transparent way in order to let the payers get a clear view of the entire billing process. At UControl Billing, we have a simple and efficient approach that leads your practice to big savings when it comes to the cost and time of your practice.

To know how UControl Billing provides medical billing services for general practice, keep on reading! Here is how our workflow:

Eligibility and Preauthorization Verification

While providing medical billing services for general practice billing, the medical billing specialists of UControl billing firstly review the patient eligibility. For that, they check the compliance, medical justification, and data accuracy before authorizing care.

Claims Submission

Our billing specialists submit the claims to insurers. Before submitting the claims, our billing and coding experts ensure that the claims are accurate and error-free. They also follow up and notify once the insurer receives relevant documents.

Payment Posting

Our services also include payment posting as soon as the reimbursed amount and the statement is posted into the patient account for further reconciliation. In addition, we provide a report that helps keep records.

Auditing Payment

Our experts also audit the reimbursed amount to ensure that the general practice is duly paid for their care to patients. In addition to that, we also ensure that without any kind of dispute, each and every billing component is covered.

Managing Claim Denials

Claim rejection or denials are one of the worst nightmares for any general practice. This is why we investigate and follow-up the denied claims with insurers to make sure that your general practice is rightfully paid for the services it offers.

Why should you Outsource Medical Billing Services For General Practice to UControl Billing?

UControl Billing is among the best medical billing companies in the US. We have extensive experience in medical billing. We also have the strongest credibility and ISO accreditation. Our medical billing and coding experts professionally handle the general practice’s billing process to get faster and more accurate reimbursement of services provided. Here are some other reasons that make UControl Billing the best medical billing company for general practice’s billing process: –

Certified Medical Billing Consultant for General Practice

UControl Billing is a HIPAA compliant and certified medical billing company for general practice. We have the right resources as well as skills that ensure that all your medical billing needs are accurately executed. Our proven experience, efficiency, and compliance ensure that all your bills are processed as well as transmitted to your insurer providers.

Accuracy and Quality

Our medical billing experts go through the claims to ensure a 98% clean claim as soon as the billing process is completed. Our experts ensure 100% adherence to compliance. This way, insurers process your claims faster.

Secure Data Management

The safety and security of your practice and patient’s data is definitely an important matter. We have a highly systematic process that streams down patient data from the Cloud to the transmission of claims. This is why to ensure that the medical billing consultant general practice is accurate, we have made some extra efforts that prevent unauthorized management of your patient’s health data.

Scalability

The general practice medical billing services are usually very highly scalable. This implies that your practice has an opportunity to get customized medical billing and coding services that suit your budget, patient volume, and business needs. Our company scales up as well as down depending upon the needs of the general practice.

Flexible Pricing Options

UControl Billing should pop up on the front when you think about affordable medical billing services. We are a very budget-friendly company. Our general practice billing services are most affordable for every size of practice in the US, even if the practice provides care to only a few patients. In addition, our customization option enables you to get the best medical billing consultant at an affordable price.

Skilled Team of General Practice Billing Experts

As stated above, at UControl Billing, we have a certified medical coding and billing team of experts. All of our staff members have a complete awareness of the general practice’s terminologies, HIPAA compliances, and billing standards that have constantly been changing over the last years. Our expert’s extensive experience and the extensive quantity of medical billers and coders ensure that each and our claim is processed without wasting the precious time of the general practice.

State-of-the-art Infrastructure

UConrol Billing incorporates a modern facility that includes the best and the most advanced technology and hardware. This ensures that all the billing processes of general practice are handled in a fast and secure manner.

24/7 Availability

We are proud of the customer service that we provide. This is because we know how important your time and our commitment are. Our staff is available 24/7 in order to answer your query and give a timely response. Our customer service providers can be contacted via phone, email, or any other preferred means in order to get a response.

When To Visit General Practice?

You can visit general practice when you have the following:

  • An injury
  • An urgent care needs
  • An ongoing health conditions
  • An illness that needs more than just self-treatment

Due to EHR nowadays, the team of general practice already has confidential access to your past medical history. The general practitioner further refers you to other health care services, and they work in harmony with other health and social care workers.

Who Does Will see You In A General Practice?

Upon calling into general practice, the staff will inquire you to get some general information, which is needed for correct general practice billing codes. They will then help you to determine which physician is best for your condition. Some injuries and diseases require one to speak to a professional doctor. Anyhow, there are some other clinical experts too in the general practice who can help you, including:

  • Pharmacists
  • Paramedics
  • General Practitioner
  • General practice nurses
  • Mental health nurses
  • District nurses
  • Health visitors
  • Physiotherapists
  • Occupational therapists
  • Other specialist professionals

What Does a General Practitioner Do?

A general practitioner is the first professional who looks at you when seeking a physical or mental health-related treatment. General practitioners look after individuals, including newborns to older adults.

The duties of a general practitioner include two main things. The first is the assessment of you with a physical exam, and the second is a review of your medical history. After viewing that, they can decide if there is a need for any tests, treatments, or need of other specialists. With the emergence of telehealth, general practitioners now provide consultation over audio or video calls. If there is a life-saving emergency, then a general practitioner at the general practice can provide emergency treatment until the real service provider of a professional arrives.

There are not only general practitioners working; instead, there is a full team that includes nurses, paramedics, pharmacists, nutritionists, psychiatrists, and others. This whole team works together in order to support your holistic or whole-body care. The team is actually a basic part of preventative medicine and health education. At a general practice, you get a broader set of services. Here are some of the examples that are included in general practice services:

  • Routine exams
  • Immunizations
  • Chronic (long-term) illness care
  • Mental health checks
  • Follow-up care
  • References to specialists

General/Family Practice General CPT Codes

General practice medical billing services ensure that practitioners do not miss out on any opportunity to get maximized reimbursements. For fulfilling that purpose, using the correct CPT and ICD 10 codes for general practice are essential, and they also ensure that the process of medical billing is smooth.

The general practice CPT coding system gives a detailed account of diagnostic, medical, or surgical services that are provided by the health care experts and practitioners of the general practice.

Like American Medical Association (AMA), a medical billing consultant is responsible for developing and maintaining the coding system for general practice. They ensure that all the healthcare providers use “a uniform process for coding medical services that streamlines reporting and increases accuracy and efficiency.”

The most common general practice billing CPT codes used by general practitioners are 99213 and 99214. According to the CMS Evaluation & Management (E&M) rule and CPT system for general practice, code 99213 is used to treat the patient for a single stable chronic condition. At the same time, a medical billing consultant should bill a 99214 CPT code when looking after a patient with a chronic disease that is not in optimal control.

Frequently Asked Questions (FAQs):

What are general practice services?

General practice services include all the services that are provided by a general practitioner (GP). A general practitioner is a doctor qualified to provide general medical practice services. Whenever a person of any age gets sick or has any health-related issue, they contact or come to general practice. There is a wide range of medical services for different health conditions and issues in general practice. Here is a list of services that may be provided at a general practice:

  • Diagnosis and treatment
  • Medical and health check-ups
  • Information and advice
  • Prescription of medications
  • Health and nutrition advice
  • Coordinating healthcare
  • Referrals to specialist health professionals
  • Ordering of screening and medical tests
  • Early intervention for those at risk
  • Management of acute and chronic conditions

What exactly does a medical biller do?

A medical biller is a person who is mainly responsible for the following duties:

  • Handling and transferring patient information
  • Submission of claims to insurance companies
  • Ensuring timely payments for provided medical services

The basic duties of medical billers are to take the codes prepared by the medical coder and submit them as claims to the insurance company to get reimbursement. Medical billers also tend to follow up with both the patient as well as the insurance company to ensure that the medical practice is properly paid, the patient is accurately billed, and payments are made in a timely manner.

What is medical billing in simple words?

In simple words, we can say that medical Billing is the process that involves the submission of insurance claims on behalf of the patient to various health insurers. The main purpose of medical billing is to acquire payment for services provided in a medical facility.

It is a vital process that plays an important role in the successful functioning of any hospital or medical practice. Medical billing ensures that the hospital or medical office is reimbursed accurately.

How do I become a successful medical biller?

As you may know, the medical billing and coding profession is in demand nowadays. This is because it plays an essential part in the healthcare industry. Knowledge and highly specific technical skills are among the two things that result in a successful biller. In order to become a medical biller or coder, you have to follow the following path:

  1. Understand job requirements
  2. Meet basic prerequisites
  3. Complete medical billing and coding training
  4. Earn medical billing and coding certifications
  5. Update your resume

Here are some other skills that make up a good medical billing consultant:

  • Ability to pay attention to details
  • Excellent communication skills
  • Good customer service
  • Competent computer knowledge
  • Good at accounting and bookkeeping
  • Knows about all the medical terminology
  • Ability to solve the problem

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