Rehab billing’s components and difficulties :

Despite being one of the most widely utilised treatment modalities in the US, there is no specific insurance plan for rehab billing, which creates a number of uncertainties and difficulties for patients and providers alike.

Rehab billing is a component of an insurance plan; it is not covered by any specific insurance plan, and insurance companies tend to be a little ambiguous about the extent of coverage the insured is entitled to for rehab treatment. The fact that states vary greatly in how much coverage is required for insurance companies to provide drug detox adds even more ambiguity to the coverage picture.

Both care seekers and providers may become confused by partial coverage and the ambiguity of insurance plans regarding rehab treatment. This could lead to them beginning the process of preparing insurance claims for rehab treatments incorrectly, which could ultimately result in a waste of time spent on preparing such claims and increasing account receivables.

Even after eligibility or coverage has been correctly determined, a care provider must still follow a number of procedural steps, such as documenting and applying the proper codes, as even one mistake can resurrect the possibility of a claim being rejected in the end.

Outsourcing to PBC : 

PBC billers and coders offer care providers an end-to-end solution for insurance billing and coding, from accurate coverage identification through preparation and submission to post-submission follow-ups to ensure timely payments. They do this by combining their knowledge of insurance procedures with medical intricacies.

• In order to gather medical information for the rehab billing process, some contact with the patient is necessary. Our billers and coders are experienced in managing encounters with disturbed patients with the tact and consideration they need.
• Furthermore, in order to stay abreast of developments in the industry and regulatory changes, PBC’s billers and coders not only closely monitor the aspects of the business that pertain to them specifically, but they also obtain training and certifications in order to continuously assess and improve their knowledge of the field.

We provide two customisable service models for our billing and coding services, allowing you to select the one that best suits the size and type of your rehab facility. Since rehab centers are typically large setups, you may already have an internal billing and coding team that could benefit from some process simplification, software that integrates with their workplace and facilitates data transaction more easily and efficiently, and cross-competency training to ensure that a leave of absence doesn’t disrupt work and that another team member can step in to continue the process. Through our Revenue Management Cycle (RCM) consulting services, which entail a complete investigation to stop areas of income leakage, examine the effectiveness of currently in use software systems, and identify training gaps, we will be able to such streamline your revenue management process.

On the other hand, you can completely delegate your billing and coding duties to us with our outsourced billing and coding services, freeing you up to focus only on healthcare.

PBC, the biggest billing and coding consortium in the US, has assisted healthcare providers from all 50 states in strengthening their financial position and improving the standard of care by assisting them in obtaining timely claim reimbursement and allocating more time to patient care.