The average medical biller is trained to use procedure codes and diagnosis codes—the information needed to complete a CMS-1500 form—but that training and those processes only suffice for billing professional services. What happens when you want to bill for the use of your facility and supplies? That’s UB-04 territory: a different form that uses special code sets and requires special setup in many medical billing systems.

We have decades of experience billing facility fees. We know how to navigate the systems, code sets, and contract nuances involved in facility billing, and our billing system is setup to accommodate them. This experience and preparedness is key to proper reimbursement for facilities like birth centers and ambulatory surgical centers.

When you hear “billing services,” you may think of sending claims out the door—and we can’t blame you because some medical billers stop there. Innovation Billing, on the other hand, offers full billing services. We review coding, scrub all claims (a digital check via our electronic clearinghouse that ensures there are no obvious issues), send claims, follow-up/aging (when the insurance doesn’t pay promptly), resubmit (if the insurance objects to something on the claim), appeal (if the insurance unjustly denies the claim), and reconcile the payments in our Practice Management system.

After the insurance billing portion is filed, we follow up with patient billing. Patients receive statements reminding them of balances and answer any patient questions about billing.