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Victoria Nutting D.O.

I'm very thankful for Portiva who I know is looking after my practice while I'm gone the virtual assistants can manage prescription refills, documents they can triage patients and just kind of answer administrative questions and they can handle a lot on their own. But also, they're very good about contacting me if there's any emergency or anything I need to attend to. So I'm very thankful for Portiva they can help almost any provider almost anywhere and it really allows for some good work-life balance as I'm getting to experience right now at my family farm so I'm very thankful for Portiva and I'm very happy to use their services"

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Victoria Nutting D.O.

Board Certified Family Medicine Physician

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Portiva's Virtual Medical Assistant - I have all the support I need. There's somebody checking my email, any patient messages. Patients are still able to schedule and handle any scheduling issues and any kind of billing that needs to still go through. Portiva hands handles it all for me. I have support i have somebody that I can access 24/7 pretty much. It's all very seamless. If somebody has an emergency or needs a medication called in. I know that the va's at portiva will handle that for me.

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Mohammad Ashori, M.D.

Board Certified Family Medicine Physician

100 satisfaction

The Future of Medical Billing and Coding Companies

medical billing and coding companies

As the population ages, the demand for better health services and information in the USA has drastically increased. In fact, according to recent statistics from the USA’s Labor Department, the demand for health information experts will increase by 15 percent in the next 5 years.

And it is much faster compared to most occupations.

Three decades ago, managing medical care information involved significant manual paperwork. However, the practice has evolved completely over the years. Thanks to technically equipped and qualified medical coders or outsourced medical billing and coding companies that ensure the implementation of advanced tools such as digital health records.

Plus, the latest technology has reshaped the domain of health information management. It has opened up several new and innovative opportunities for medical billers to offer the best medical billing services.

A reliable medical billing company uses digital technologies to manage patients’ health information. It allows them to integrate specialized skills, knowledge, and experience to offer medical billing services.

In the future, however, a medical professional billing company needs to understand the application and execution of new coding technology. Plus, it will have to use innovative tools to improve the accuracy and efficiency of medical billing.

I am interested in learning more about the future of medical coding and how it will benefit medical practices.  Keep reading to explore the medical billing services and the changing medical care trends related to coding on the horizon.

Medical Billing Services- An Overview

Whether you run a clinic, hospital, or any other medical facility, certified medical coders can help you manage your revenue cycle management and ensure timely and accurate reimbursement for the services you provide.

The primary responsibilities of medical billing services include:

Claims Submission

Medical billing services or medical billers are responsible for preparing and submitting insurance claims on behalf of medical care providers. They ensure the claims contain accurate and complete information, including patient demographics, diagnosis codes, procedure codes, and other necessary documentation. The claims are then electronically submitted to insurance companies for reimbursement.

Coding and Documentation

Outsourced medical billing providers assign appropriate medical codes to the services provided by medical care companies. They use standardized coding systems such as Current Procedural Terminology (CPT) and the International Classification of Diseases (ICD) to represent diagnoses and procedures accurately. Proper coding ensures that claims are processed correctly and minimizes the risk of claim denials.

Claims Follow-up and Denial Management

Medical billers track the progress of submitted claims and follow up with insurance companies to ensure prompt payment. In case of claim denials or rejections, they investigate the reasons and work to resolve any issues, such as missing information or coding errors. Also, they resubmit corrected claims or appeal denials to maximize reimbursement for healthcare companies.

Patient Billing and Collections

Medical billers generate patient invoices and statements for the portion of medical expenses not covered by insurance, such as deductibles or co-pays. They handle inquiries and support patients regarding billing questions or payment arrangements. In addition, these services may assist with collections activities, working to recover outstanding balances from patients.

Revenue Cycle Management

Medical billing companies oversee the entire revenue cycle management process for medical care companies. This includes tracking accounts receivable, managing payment posting and reconciliation, analyzing financial reports, and providing insights to improve revenue generation and cash flow.

Outsourcing medical billing services allows healthcare providers to concentrate more on patient care while ensuring efficient and accurate billing processes. Medical billing services offer expertise in navigating complex insurance systems, staying updated with industry regulations, and employing technology and automation to streamline billing operations.

The Future of Medical Billing and Coding Companies- Emerging Trends of Healthcare on the Horizon

When it comes to enlisting emerging trends in healthcare, you can refer to the wave analogy. Some trends have long been swelling and may emerge soon, while others need more time to surface. One of the trends that have the potential to change the industry is AI (artificial intelligence). 

What does it mean to have AI in medical coding companies? And what role does it play in shaping the future of medical coding?

Artificial Intelligence in Medical Billing Company

Many influential healthcare facilities have already implemented or are planning to incorporate CAC- computer-assisted coding. It is a type of Artificial intelligence that uses NLP (natural language processing) to identify and pull out data from different medical documents for billing and coding purposes. 

Computer-assisted coding software includes integrated artificial medical intelligence and 3M’s 360 Encompass Professional System. 

According to a recent survey of Optum, the three applications many medical executives want to tap for artificial intelligence include;

  • Monitoring data from devices like wearable technology (40 percent)

  • Accelerating studies for new clinical or therapeutic discoveries (37 percent)

  • Assigning codes for correct diagnosis, treatment, and reimbursement (37 percent)

The survey further shows that using AI to upgrade compensation coding is the top priority of hospitals. Many healthcare executives consider implementing this application effective for creating more employment opportunities. Coding software like CAC provides streamlining to the entire process. However, it only processes the data that is entered. 

That means documenting information is still a daunting task as clinical documentation integrity workers and medical coders need accurate reporting. Other than that, AI is all set to revolutionize coding. As AI can recognize developments, progress, patterns, and errors, it has reduced the chances of code duplication. 

Here are some more examples of how artificial intelligence will impact the dynamics of medical coding;

Modified Coding Practice in Medical Billing Companies

virtual medical assistant doing medical coding in his laptopAs said earlier, traditional coding involves immense paperwork and documentation. And that makes the entire process hectic and time-consuming. The rectification cost and specific types of audits are some of the major setbacks of current coding practices. 

AI in medical coding will make the process more agile and seamless, benefiting diverse medical specialties. Healthcare organizations have started using AI and advanced medical billing software to leverage their technology to improve medical practice.

AI-based coding can help contextualize the rough data by aligning and streamlining the information from different sources. It also helps arrange the data into a logical timeline to make medical practice easier.

Verified Insurance Coverage for Patients Automatically

AI-based coding will automate an insurance verification system to help coders reduce the time spent on the calls to check coverage. Not only this, but they will also have immediate access to the information such as if;

  • Patients have met the deductible

  • Increased their number of medical visits for particular injuries

  • Have become ineligible for the services for any reason

Consider outsourcing your medical billing company if you want a more cost-effective solution to address diverse medical specialties.

Improved Patients Satisfaction and Engagement Rates

This is one of the most important benefits medical sectors will get by opting for AI-based coding. The state-of-the-art processing technology allows health providers in clinics and medical institutes to spend more time with their patients. 

That means physicians and doctors can focus on the condition of their patients to provide high-quality medical care using accurate healthcare information. Impeccable document and data processing helps nurses, doctors, and lab technicians establish long-term relationships with patients. This results in enhancing patients’ engagement and satisfaction rates.

General Questions For You

Frequently Asked Questions

When it comes to medical billing, choosing the right company can make all the difference. While there are many excellent billing services, one company that stands out is Portiva.

Portiva offers a wide range of billing services, including patient collection and collection management and outsourcing options for practices looking to streamline their invoicing process. Their focus on revenue solutions, flexible services, and expert staff make them an ideal choice for healthcare practices looking to optimize their billing process.

Being in the heart of Florida, Portiva has a unique perspective on the health insurance companies and health care providers that serve patients in the area. Their billing services are tailored to the needs of the practices they serve, and they have a track record of improving billing efficiencies and increasing revenue for their clients.

If you’re looking for a company that can provide top-notch billing services focusing on patient care, Portiva is the ideal choice. Contact them today to learn more about their services and how they can help your practice succeed. To request more information, email [email protected] or follow them on social media for updates on their focus areas and the latest solutions.

The best medical coding department for your practice ultimately depends on your focus area and specific needs. However, several standout companies in Florida offer exceptional medical billing services and revenue collection management. One of the top billing providers is Portiva, a virtual medical assistant staffing company for medical practices.

When choosing a medical billing company, it’s essential to consider their expertise in your particular patient base and practice type. You should also look for a company that provides clear and transparent communication and excellent customer service to you and your patients. To learn more about these top billing companies and their benefits, feel free to contact their sales team or follow them on their respective social media accounts. With proper billing service management, you can streamline your practice’s revenue flow and focus on providing top-notch patient care.p

When finding the best medical billing and coding accreditation, there are a few key things to remember. First and foremost, it’s essential to look for a program that offers a comprehensive education in medical billing and coding, focusing on billing and coding practices. Some of the top accrediting bodies for medical billing and coding is Portiva.

In addition to choosing an accrediting organization with a solid educational program, it’s also essential to consider the reputation of the company or a company offering the program. Look for a billing service or outsourcing group with a proven track record in the medical billing industry, with a wide range of revenue management, collection management, and patient services solutions.

If you’re focused on finding accreditation in a specific region, such as Florida, consider a program based in or with strong connections to the area. You can contact various billing services and practices in Florida to see which accreditation they recommend or follow industry news and trends to stay up-to-date on the latest medical billing and coding developments.

Ultimately, choosing the right accreditation program for medical billing and coding can significantly impact your career prospects and long-term success in the field. By researching and carefully evaluating your options, you can position yourself for a rewarding and fulfilling career in this dynamic and ever-changing industry.

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Medical technology concept The doctor works with mobile phones, headphones and tablets

Summing Up

Medical coders play a major role in transcribing information about patients, including their visit, symptoms, diagnosis, and, most importantly, medication prescribed. They develop digital codes to store in the database of hospitals.

As healthcare demand has increased over the years, It is essential to find places that help improve profit rates and reduce operating expenses to meet the requirements of the dynamic healthcare environment in the future.

Thus, medical billing services will greatly rely on artificial intelligence and advanced software to improve the coding process to ensure smooth transitions in operations and error detection. Medical coding based on AI software seems to become a workflow solution for medical professionals in the healthcare industry. Contact Portiva today!

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