Internal Medicine

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Expert Medical Billing Services for Internal Medicine Practices

Maximize reimbursements, reduce denials, and streamline your revenue cycle with specialized billing solutions for Internal Medicine practices. We understand that Internal Medicine practices face unique billing challenges due to the complexity of the services provided, from routine check-ups to chronic disease management. With a wide variety of services such as preventive care, diagnosis, and treatment for complex conditions, internal medicine billing requires accuracy, attention to detail, and thorough knowledge of medical codes.

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98% First-Pass Pay Rate

Our team’s attention to detail and expertise in coding and payer policies ensures a high rate of first-pass claim approvals, reducing the need for rework and speeding up payments.

30% Reduction in AR Days

With our proactive billing strategies and efficient follow-ups, we help reduce accounts receivable days, ensuring faster payments and improved cash flow.

15% Revenue Increase

Practices that partner with us typically see a 20% or more increase in revenue due to fewer denials, improved reimbursement rates, and optimized billing processes.

99% Claim Accuracy

Our experienced billing team ensures that every claim is submitted with the correct coding and comprehensive documentation, increasing the likelihood of getting paid on time.

Common Billing Challenges in Internal Medicine

challenge

Complex Coding for Preventive and Diagnostic Services

Internal medicine practices often deal with a combination of preventive care (such as annual physicals) and diagnostic services (like screenings and lab tests). Correctly coding these services is essential to ensure proper reimbursement.

How We Solve It:

Our certified coding specialists are trained in the nuances of coding for preventive, diagnostic, and therapeutic services specific to internal medicine. Whether it’s ICD-10 codes for chronic conditions or CPT codes for screenings, we ensure every service is correctly coded to maximize reimbursements and reduce denials.

challenge

Managing Chronic Care and Complex Conditions

Billing for chronic care management (CCM) services and treating complex conditions often involves multiple codes, coordination of care, and documentation that meets payer standards for medical necessity.

How We Solve It:

We ensure your chronic care and complex condition treatments are properly documented and coded for accurate reimbursement. Our team stays up-to-date with payer requirements for chronic care management, ensuring that you are compensated for all billable services related to these treatments.

challenge

Navigating Insurance and Payer Variability

Internal medicine practices often deal with various payer requirements, including private insurance companies, Medicare, and Medicaid. Each payer has different rules regarding what services are covered and how they should be billed.

How We Solve It:

We specialize in managing the diverse payer landscape by staying updated on changing insurance policies and reimbursement rules. Our team ensures that claims are submitted correctly to each insurance provider, reducing the risk of claim rejections or underpayments due to incorrect or incomplete information.

challenge

High Rate of Claim Denials

Internal medicine practices often face high claim denial rates due to coding errors, incomplete documentation, or failure to meet medical necessity requirements. Denied claims can result in delayed payments and significant administrative costs.

How We Solve It:

We work diligently to ensure that your claims are accurate, complete, and in compliance with all payer policies. Our team conducts thorough checks before submission, ensuring that all codes and documentation meet the specific requirements of each payer. This results in fewer claim denials and faster reimbursement times.

challenge

Time-Consuming Billing Processes

Managing billing for internal medicine can be time-consuming, especially when dealing with high volumes of patient visits, insurance verifications, and documentation. This administrative burden takes time away from patient care and may impact practice efficiency.

How We Solve It:

We streamline your billing process, allowing your office staff to focus more on patient care rather than managing complex billing tasks. From verifying insurance coverage to handling follow-ups with payers, we take care of the billing process from start to finish, reducing the administrative burden on your practice.

How We Solve Internal Medicine Billing Challenges

Expert Coding for Preventive, Diagnostic, and Chronic Care Services

We have a team of certified coders who are proficient in coding for all aspects of internal medicine, from routine check-ups and screenings to chronic disease management. Our team ensures the correct use of ICD-10, CPT, and HCPCS codes to maximize reimbursement and reduce errors.

Chronic Care Management (CCM) Billing Support

We help ensure your CCM services are properly documented and coded, allowing you to be reimbursed for the comprehensive care you provide to patients with chronic conditions. Our team works to ensure full compliance with payer guidelines for CCM billing.

Navigating Payer-Specific Policies

Our billing team is familiar with the specific requirements of a wide range of insurers, including Medicare, Medicaid, and private insurance providers. We ensure that claims are submitted in accordance with each payer’s guidelines, minimizing the risk of rejections and speeding up the reimbursement process.

Denial Management and Appeals

Our team is experienced in handling claim denials. If a claim is rejected, we take the necessary steps to appeal the decision, working to resolve issues quickly and efficiently. This reduces your administrative burden and helps you recover payments faster.

Streamlined Billing Process

We help optimize your billing workflow, reducing the time spent on administrative tasks. By handling all aspects of the billing process, from insurance verification to claim submission and follow-up, we free up your staff to focus on providing excellent care to patients.

What Our Internal Medicine Clients Are Saying

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"Internal medicine practices are the backbone of healthcare, and reliable revenue is essential. NY Practice Partner has been a critical partner for us. Their RCM services reduce billing errors, accelerate reimbursements, and keep our clinic financially secure so we can focus on patient care."

Dr. Matthew Ross, Internist

"NY Practice Partner has completely changed how our internal medicine clinic manages billing. Their revenue cycle management has improved efficiency, stabilized cash flow, and taken away the financial stress that used to weigh on our team."

Dr. Emily Carter, Internal Medicine Specialist

"At Lakeside Internal Medicine Associates, billing challenges made it hard to plan ahead. Since outsourcing RCM to NY Practice Partner, collections are reliable, claims are accurate, and our practice finally has the financial support to keep growing."

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