MedEx MBS

Thoracic Surgery Billing Services

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Thoracic Surgery Medical Billing Services

Medical coding and billing are intricate processes that pose challenges for any practice. However, specialties like thoracic surgery involve a vast array of procedures and numerous alternatives, making it feel nearly impossible for a busy office staff to accurately code and submit everything in accordance with insurance claim requirements.

Essential to Sustain an Effective Revenue Cycle

As costs keep rising and medical office budgets tighten, maintaining an efficient revenue cycle becomes increasingly crucial. Delays in payments due to claim denials or slow submissions can impact your bottom line by postponing the income needed to pay for supplies and ensure your office operates smoothly.

Billing and Coding for Thoracic Surgery Involves Its Own Unique Challenges.

Complex Coding Results in Human Error

In a practice that includes procedures ranging from minimally invasive techniques to heart transplants, there is ample opportunity for human error. Unlike a general practice office that often uses the same codes, thoracic surgery billing involves numerous complex and specific codes and modifiers that must be accurately applied.

Data Entry Errors Early In The Process Compound As Treatment Progresses

Since treatment is often continuous or consists of multiple components, any incorrect coding at the outset can lead to cascading errors as the treatment progresses. This can result in significant issues with the claims submitted, leading to rejections or denials and forcing your staff to sift through numerous records to identify the source of the problem.

Equipment And Supplies Require Additional Coding

In addition to the procedures, monitoring systems, medications, and supplies must be accurately documented. These details often need to be transcribed from the physician’s notes, creating another chance for error. Specialized medical billing teams are far better suited to handle these complex tasks, as their sole focus is billing rather than managing a busy medical practice.

Nonmatching Fees And Service Invoices Can Get Your Practice In Trouble

Undercodin using a code that yields insufficient compensation for your services—can lead to significant financial losses. Conversely, overcoding—submitting claims with codes that suggest a more expensive procedure than was actually performed—complicates billing, delays payments, and violates the law. This not only creates issues with payers but can also prompt an investigation by the Office of Inspector General (OIG), the U.S. agency responsible for investigating waste, fraud, and abuse.