Medical billing for the sleep centers is considered to be a highly specialized process. This specialty requires extreme attention to detail. The sleep studies start with polysomnography and end with CPAP titration. These processes involve insurance requirements and unique coding. Always remember that billing errors can cause claim denials, which will lead to financial instability.
Healthcare regulations are constantly changing. It is because new diseases are coming every single day. The healthcare staff performs almost all healthcare operations. That's why it becomes difficult for the healthcare staff to stay updated with the changing regulations. So, what is the solution to this problem? The solution is to hire sleep study billing services. These staff know all the intricate details of the coding changes. Apart from that, they also know all the small details of the HIPAA law to protect patient data.
Advantages of Hiring Sleep Study Billing Services
The outsourced experts can also help with prior authorization. Apart from that, they are highly cost-effective compared to the in-house staff. Like that, they help with increasing the clinic's cash flow. So, let's dive in details how these sleep study companies help the clinics:
Managing Coding Complexities
Healthcare is continuously changing day by day. But the issue is that the healthcare staff don't stay updated with the changing regulations. It's because they have to take care of all the tasks, starting from administrative work to patient care. So, they don't get enough time to get updated with the healthcare regulations. Hence, the solution is outsourcing to sleep study billing services. These experts know all the complex nuances of coding to make sure no claim denial occurs. Moreover, they stay updated with the changing ICD, HCPCS, and CPT codes. It helps them to streamline the claim submission process.
Taking Care of the Prior Authorization Process
Prior authorization takes a lot of time to perform. It is because you first need to verify patient eligibility, collect important documents, and then streamline the PA process to make sure no claim denial occurs. But it is not possible for the healthcare staff to perform this. It is because they have other important tasks to do. Hence, the outsourced companies come with trained experts. These experts carefully follow each step to make sure no claim denial occurs. Apart from that, they also know the electronic prior authorization process to streamline the electronic claim submission process.
Cost-effectiveness
The in-house teams come with a high cost. It is because you have to train them and also buy expensive office space for them. Hence, it will incur a lot of cost. On the other hand, the outsourced sleep study billing services are highly cost-effective. It is because you don't have to train them. Also, you don't need to buy another separate office space as the outsourced companies take care of this. That will save a lot of money for them. Hence, this saved money they can invest in patient care. So, cost-effectiveness is one of the main reasons to hire the outsourced experts.
Using the Latest Technology
Technology has a huge role in the claim submission process. But the issue is that the in-house staff don't have the time to learn about new technologies. It's because these experts don't have time to learn about these skills. Here, you need the help of sleep study billing services. Their experts know how to work with the clinic's specific EHR system. Apart from that, they also know how to use state-of-the-art claim processing, denial management software, and customized reporting. Moreover, their transparent pricing is also one of the main reasons to hire them.
How to Choose the Right Company?
You have understood the reasons for hiring sleep study companies. But as there are so many companies out there, how can you choose the right partner? You need to check out the companies that can reduce your operational costs by 80%. Apart from that, these companies also have 99.9% accuracy in coding, charge entry, denial management, and claim scrubbing. Moreover, these companies have up to a 97% first pass rate. They also provide complimentary account managers at zero cost. Furthermore, these outsourced experts provide complimentary account managers at no extra cost. They also provide a custom reporting protocol according to the client's requirements.
Check also if these companies provide outstanding client references and full HIPAA compliance. These companies also don't have any binding contracts. Hence, you can have an exit anytime. They provide top-of-the-line infrastructure setup. Along with that, they provide custom reporting and real-time audits. These companies have less than 48 hours turnaround time and also low service fees. Furthermore, these outsourced services also help with other specialties such as DME, orthotics and prosthetics, urgent care, gastroenterology, cardiology, infusion, and many more specialties. So, if you want to streamline your billing process, you may consider outsourcing sleep study billing services for that matter.