Family Practice Billing Services The medical billing process is constantly changing, from private insurance companies to Medicare, affecting doctors and patients. According to a recent study, physicians lose an average of more than $130 per patient, and even for each patient, deductible costs increased by an average of 13%. Every primary care practice faces billing and coding challenges as technology rapidly evolves and treatment protocols become more complex, including general practice, primary care, infectious disease prevention, and E&M services. The list of challenges is longer and even changing as treatment protocols differ by patient demographics. Legion Healthcare Solutions (LHS) understands and addresses the evolving issues facing primary care practices, billing managers act as a platform for regulators connecting physicians and insurance companies. "Family practice is one of the most evolving specialties in healthcare. Most patients are treated as inpatients, but the fundamental problem of documenting diagnoses still makes it difficult for family physicians. Coding in family practice is extremely complicated and requires experienced and certified coders to code patients correctly." - a billing manager at Legion Healthcare Solutions Accurate documentation is essential when dealing with patients with a history of other conditions. Preventive and diagnostic procedures recommended by physicians must be reconciled with coding requirements. Collection Process Most primary care physicians do not have a prior authorization process followed by a collection process, resulting in low reimbursement. For inpatients, patient information and eligibility should be reviewed regularly, even before they go in for a process; this helps LHS plan for the collection process. Legion provides you with a complete view of the patient's financial obligations in the event of procedures not covered by insurance, improving patient care in your practice. Certified team of coders: All of Legion's coders are certified family practice coders (CFPC) who are able to read and abstract physician notes to apply the correct level of ICD-10-CM, CPT, HCPCS Level II and modifier coding. Coding minor surgical procedures performed by primary care physicians and need for RVU in the case of multiple procedures. Legion performs coding audits to look for discrepancies in procedures and coding errors. Add denied claims: Family practices rely on documentation and coding, so coding errors impact reimbursement for family practices. Reviewing denied claims helps Legion avoid further errors and even provides other coders with a checklist for avoiding such mistakes. Legion regularly conducts coding and billing audits for all of our claims to help prevent errors and educate our team.
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