Neonatal Billing & Coding Services

Neonatal Billing & Coding Services

Neonatology, a specialized field within pediatrics, caters to the medical needs of newborns, particularly those who are ailing or born prematurely. Typically centered in neonatal intensive care units (NICUs), this specialized medical care primarily focuses on infants facing challenges due to various conditions such as prematurity, low birth weight, intrauterine growth restrictions, congenital malformations, sepsis, pulmonary hypoplasia, and birth asphyxia.

The primary beneficiaries of neonatologists’ care are newborns requiring specialized medical attention due to their fragile health and specific needs at birth. These tiny beings present extensive and intricate challenges, making the role of a neonatologist vital in nurturing their lives and ensuring their healthy recuperation.

To alleviate the intricate financial aspects of hospital management, partnering with offshore entities like MBW for revenue cycle management can ease the burden significantly.

Expertise in Medical Billing & Coding for Neonatology

MBW boasts a nationwide client base covering hospitals equipped with NICUs, physician practices, and medical billing entities across all 50 states. Our coders demonstrate proficiency in ICD-9/10, CPT, and HCPCS coding guidelines sanctioned by CMS and AMA. Certified by the American Academy of Professional Coders (AAPC), our team’s expertise spans over a decade in neonatal billing and coding, with specialized focus on LEVEL III NICU billing & coding.

Implementing Optimal Strategies for Neonatal Billing & Coding Services

Our modus operandi involves accurate coding application, distinguishing between E/M services for healthy newborns and NICU codes for newborns facing congenital disabilities. To minimize rejections and resubmissions from clearinghouses, our team ensures the submission of flawless claims initially, adhering rigorously to the policies, rules, and regulations of all payers. Leveraging extensive knowledge, our coding team efficiently employs modifiers to prevent claim denials.

Effective Practices in Neonatal Coding:

Physicians must include Newborn Care Services codes for evaluation and management (E/M) services provided to normal newborns during their initial days before hospital discharge. Codes for the initial care of normal newborns encompass

Advantages of Our Neonatology Billing and Coding Services

We prioritize excellence, knowledge, and precision in neonatal billing and coding services, contributing to a flawless revenue cycle for your hospital. Our team endeavors to introduce a seamless process for billing, coding, claim submission, and payment posting, ensuring persistent accounts receivable follow-up and prior authorization to prevent claim denials. Medical Billing Wholesalers aids hospitals in delivering exceptional care to their young patients by enhancing administrative and financial efficiency. Our team comprises specialists who are:

Certified by The American Association of Professional Coders (AAPC) and trained in the most common Medical Coding Software

Proficient in processing medical claims with commercial insurance companies including UHC, WellPoint, Aetna, Humana BCBS, Anthem, and government payers such as Medicare

Adept in collaborating with Medicare and comprehending state-specific Medicaid Policies

Experts in cost reduction, facilitating improved clinical and operational efficiency