At MZ Medical Billing Services, we specialize in providing comprehensive surgical medical billing outsourcing solutions tailored specifically for surgeons and surgical practices. Our goal is to streamline the billing process, optimize revenue, and ensure surgeons can focus on delivering exceptional patient care. Here's how we provide exceptional services for surgical practices:

• Expert Surgical Billing Specialists: Our team comprises skilled billing specialists with extensive expertise in surgical billing and coding. From complex surgical procedures to post-operative care, we ensure accurate and compliant billing to maximize reimbursements.
• Customized Billing Solutions: We understand the diverse range of surgical specialties and procedures, including general surgery, orthopedic surgery, neurosurgery, and more. Our billing solutions are customized to meet the unique needs and preferences of each surgical practice.
• Revenue Optimization Strategies: We employ proactive strategies to enhance revenue for surgical practices. By optimizing coding practices, identifying missed revenue opportunities, and negotiating favorable payer contracts, we help practices maximize their financial potential.
• Denial Management Expertise: Denials can significantly impact practice revenue. We implement robust denial management protocols to identify common denial trends, address root causes, and streamline the appeals process. Our goal is to minimize denials and improve cash flow for surgical practices.
• Efficient Reimbursement Processes: Timely reimbursements are essential for practice success. Our streamlined billing processes and advanced technology infrastructure enable us to submit claims promptly and accurately. This ensures faster claim processing and improved cash flow for surgical practices.
• Transparent Reporting and Analytics: We provide comprehensive reporting and analytics tools that offer insights into practice performance metrics. From claim status reports and revenue trends to payer mix analysis, our detailed reports empower practices to make data-driven decisions and optimize financial outcomes.
• Dedicated Client Support: Client satisfaction is our top priority. We assign dedicated account managers to each surgical practice to serve as primary points of contact. Our support team is readily available to address inquiries, resolve issues, and provide ongoing guidance and training.

Our Medical Billing Process

1. Patient Registration and Insurance Verification:
   • Patient Registration: We verify patient demographics, including name, date of birth, and address.
   • Insurance Verification: We verify patient insurance coverage, including the type of insurance, coverage limits, and any specific requirements or restrictions.
2. Medical Record Review and Coding:
   • Medical Record Review: We review medical records to identify all relevant services and procedures performed.
   • Coding: We assign relevant ICD-10 and CPT codes to ensure accurate billing.

Example Codes:

• Diagnosis Codes (ICD-10):
  • C40.0: Carcinoma of the breast
  • C40.1: Carcinoma of the breast, in situ
  • C40.2: Carcinoma of the breast, invasive
• Procedure Codes (CPT):
  • 19200: Excision of benign lesion of the breast
  • 19210: Excision of malignant lesion of the breast
  • 19220: Mastectomy, partial

3. Claim Preparation and Submission:
   • Claim Preparation: We prepare claims using the coded information, including patient demographics, insurance information, and services and procedures performed.
   • Claim Submission: We submit claims to insurance providers electronically or on paper.
4. Claim Processing and Reimbursement:
   • Claim Processing: Insurance providers process claims, verifying services and procedures performed and patient insurance coverage.
   • Reimbursement: Insurance providers reimburse providers for services and procedures performed, based on insurance coverage and contracted rates.
5. Follow-up and Appeals:
   • Follow-up: We follow up with insurance providers to ensure claims have been processed and to address any issues or denials.
   • Appeals: If a claim is denied, we work with the provider to gather additional information and appeal the decision.

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At MZ Medical Billing Services, we're dedicated to helping surgical practices maximize profits and focus on delivering exceptional patient care. With our expertise and unwavering support, surgeons can trust us to handle their billing needs efficiently and effectively.

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CPT Codes for Surgery

1. Surgery Codes:
   • 10021-69990: Various surgical procedures, including general surgery, orthopedic surgery, neurosurgery, and more
2. Anesthesia Codes:
   • 00100-01999; 99100-99140: Various anesthesia procedures, including general anesthesia, regional anesthesia, and more
3. Radiology Codes:
   • 70010-79999: Various radiology procedures, including imaging studies, such as X-rays, CT scans, and more
4. Pathology and Laboratory Codes:
   • 80047-89398: Various pathology and laboratory procedures, including blood tests, biopsies, and more
5. Evaluation and Management Codes:
   • 99201-99499: Various evaluation and management codes, including initial and established patient visits, and more

ICD Codes for Surgery

1. Surgical Procedures:
   • Z00.0: Encounter for surgical procedure
   • Z00.1: Encounter for surgical procedure, unspecified
   • Z00.2: Encounter for surgical procedure, with complications
   • Z00.3: Encounter for surgical procedure, with complications, unspecified
   • Z00.4: Encounter for surgical procedure, with complications, unspecified
   • Z00.5: Encounter for surgical procedure, with complications, unspecified
   • Z00.6: Encounter for surgical procedure, with complications, unspecified
   • Z00.7: Encounter for surgical procedure, with complications, unspecified
   • Z00.8: Encounter for surgical procedure, with complications, unspecified
   • Z00.9: Encounter for surgical procedure, with complications, unspecified
2. Other Surgical Codes:
   • Z71.9: Encounter for surgical procedure, unspecified
   • Z71.8: Encounter for surgical procedure, unspecified
   • Z71.7: Encounter for surgical procedure, unspecified
   • Z71.6: Encounter for surgical procedure, unspecified
   • Z71.5: Encounter for surgical procedure, unspecified
   • Z71.4: Encounter for surgical procedure, unspecified
   • Z71.3: Encounter for surgical procedure, unspecified
   • Z71.2: Encounter for surgical procedure, unspecified
   • Z71.1: Encounter for surgical procedure, unspecified
   • Z71.0: Encounter for surgical procedure, unspecified

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