Vascular surgery billing services are essentially financial helpers for vascular surgeons’ practices. They specialize in dealing with the complicated world of medical billing and insurance for this specific field. Billing Care Solutions act as translators between the medical world and insurance companies. Billing Care Solutions understand the specific procedures vascular surgeons perform and how to code them correctly. Which is important because complex procedures require specific coding to get proper reimbursement.

Billing Services

Medical Billing & Coding:

Billing Care Solution’s team is well-versed in the intricacies of vascular surgery procedures. They stay updated on the latest coding guidelines specific to this field, ensuring accurate translation of your services into the language understood by insurance companies (e.g., CPT and HCPCS codes). Their specialists meticulously review your documentation to capture all relevant details of the procedures performed. This ensures you receive the maximum possible reimbursement for each service rendered. Billing Care Solution adheres to strict coding compliance regulations. This minimizes the risk of denials and ensures a smoother claims submission process.

Revenue Cycle Management (RCM):

Billing Care Solution implements a well-defined workflow for managing your revenue cycle. This includes tasks like collecting patient co-pays and deductibles, following up on claims, and posting payments. This frees up your staff’s time to focus on patient care. They have a dedicated team to handle denied claims. This includes identifying the reason for denial, working with insurance companies to rectify any errors, and resubmitting corrected claims. Billing Care Solution keeps you informed throughout the RCM process. You’ll receive regular reports on your practice’s financial performance, allowing you to track revenue and identify areas for improvement.

Account Receivable Management:

Billing Care Solution implements a system for efficiently managing outstanding patient balances. This may include sending statements, making follow-up calls, and offering flexible payment plans. Billing Care Solution team works diligently to collect outstanding payments, minimizing the risk of bad debt for your practice.

Provider Enrollment & Credentialing:

Billing Care Solution can assist with the often-complex process of enrolling with insurance companies and obtaining necessary credentials. This ensures you can start treating patients as quickly as possible.

Eligibility & Benefit Verification:

Billing Care Solution verifies a patient’s insurance coverage and benefits before services are rendered. This eliminates any surprises regarding coverage limitations or co-pays, ensuring a smooth billing experience for both you and the patient.

Authorization and Referral Services:

 Billing Care Solution can handle obtaining prior authorizations and referrals from insurance companies on your behalf. This saves you valuable time and allows you to focus on providing patient care.

Business Intelligence Reporting Services:

Billing Care Solution provides comprehensive reports that track key metrics such as claims submitted, denials received, and revenue collected. These reports offer valuable insights into your practice’s financial health, allowing you to make data-driven decisions for optimizing your practice’s performance.

Patient Support:

Billing Care Solution has a dedicated team to answer any billing-related questions your patients may have. This improves patient satisfaction by ensuring clear communication and resolving any billing concerns efficiently.

Coding Guidelines:

CPT Codes:

These codes define the specific procedures performed by the vascular surgeon. They are very specific, with unique codes for different types of vascular surgeries.

Examples:

• 37181: Carotid endarterectomy with patch angioplasty
• 35871: Open repair of abdominal aortic aneurysm without graft
• 37793: Percutaneous transluminal angioplasty of abdominal aorta

ICD Codes:

These codes represent the patient’s diagnosis or condition requiring the vascular surgery. Selecting the most accurate ICD code is essential for proper reimbursement.

Examples:

• T80.4: Atherosclerosis of the abdominal aorta and iliac arteries
• I70.2: Atherosclerosis of the carotid artery
• 443.9: Peripheral arterial occlusive disease, unspecified

Modifier

• 50 – Bilateral Procedure: This modifier signifies that the same procedure was performed on both sides of the body during the same surgical session.
• 51 – Multiple Procedures: Used when more than one unrelated procedure is performed on the same patient during the same surgical session.
• 52 – Reduced Services: Indicates that a planned procedure was partially performed due to medical necessity.
• 53 – Increased Procedural Service: This modifier signifies that the complexity of the procedure was greater than usually encountered.
• 54 – Unusual Procedural Service: Used for procedures requiring additional time, resources, or uncommon skill compared to the typical version.
• 57 – Deleted Procedural Service: This indicates that a previously planned procedure was not performed due to medical necessity.
• 58 – Staged or Subsequent Procedure: Used when a procedure is performed in multiple stages or sessions.
• 62 – Missed Approach: This modifier signifies that an attempt to access a body part was unsuccessful due to anatomical reasons.
• 78 – Unrelated Anesthesia Procedure by the Same Physician: Used when a separate anesthesia service is provided by the same surgeon during the same surgical session.
• 79 – Unrelated Procedure by the Same Physician on the Same Day During a Separate Session: This indicates that an unrelated procedure was performed on the same day by the same surgeon in a separate surgical session.
• XU – Unusual Service: Used for services that are not typically identified by a specific CPT code.

In conclusion, by partnering with Billing Care Solution, you gain a dedicated team with the expertise to navigate the complexities of vascular surgery billing. Billing Care Solution will provide complete guidance throughout the process, freeing you to focus on what matters most – delivering exceptional care to your patients.

We specialize in Medical Billing and Coding and provide comprehensive support for your practice. For more information visit

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