Keep Your Specialty Practice Billing Current

Medical Billing Management Services Inc. handles family and specialty care provider billing for practices in Hanford, California.

Specialty care billing involves more complex codes, stricter documentation requirements, and longer approval timelines than general practice billing. If your specialty practice in Hanford is managing cardiology, orthopedics, or another focused area of care, you know that a single missed modifier or incomplete note can result in a rejected claim that takes weeks to resolve.

Medical Billing Management Services Inc. manages your specialty care provider billing by submitting claims with the correct codes and documentation for your specific field, monitoring the progress of submitted claims, and addressing any rejections before they delay payment. Your practice also benefits from patient statement management, which sends clear billing information to patients for outstanding balances after insurance payments are applied.

If you want your specialty practice in Hanford to stay current with billing and reduce the time spent on claim follow-up, get in touch to discuss how this service works.

What Happens When Claims Are Submitted and Tracked

Once your specialty practice in Hanford provides the clinical documentation and charge details, Medical Billing Management Services Inc. reviews the information to confirm that procedure codes match the diagnosis, modifiers are applied where needed, and payer-specific requirements are met. Claims are then submitted electronically to insurance companies with all supporting documents attached.

You will notice fewer rejections because claims are checked before they leave your office. When a payer does reject a claim, you are notified immediately, and the issue is corrected and resubmitted without waiting for your staff to follow up.

This service includes monitoring submitted claims through the entire reimbursement cycle and sending patient statements for any remaining balances. It does not include clinical documentation or coding education, but it does ensure that what your practice submits is complete and accurate according to current payer guidelines.

A Few Things Practices Usually Ask First

Most specialty providers want to know how billing is handled for their specific field and what kind of turnaround time they can expect once claims are submitted.

How is specialty billing different from family practice billing?

Specialty billing uses more detailed procedure codes, often requires prior authorization, and involves longer claims review times from payers. Medical Billing Management Services Inc. works with the coding and documentation standards specific to your specialty.

What happens if a claim is rejected due to missing documentation?

Medical Billing Management Services Inc. contacts your office in Hanford to request the missing documentation, attaches it to the claim, and resubmits it as quickly as possible. You are kept informed throughout the process.

How do you monitor the progress of submitted claims?

Claims are tracked through payer portals and electronic remittance systems. You receive updates on which claims have been paid, which are pending, and which require additional action.

When are patient statements sent out?

Patient statements are sent after insurance has processed the claim and applied payment. Statements include a breakdown of the charges, what insurance covered, and what the patient owes.

What if a patient disputes their bill?

Medical Billing Management Services Inc. reviews the claim and insurance explanation of benefits with the patient, answers their questions, and works with your practice in Hanford to resolve any discrepancies. You are notified if the dispute requires clinical clarification.