Doctors use sleep studies, polysomnograms and diagnostic procedures to understand a patient’s sleeping pattern. Sleep study helps to identify and diagnose sleep disorders. Doctors monitor and record various body functions during sleep to assess sleep quality and identify potential problems like:
- Sleep apnea
- Restless legs syndrome
- Narcolepsy
- Insomnia
- Certain types of seizures and epilepsy
- Nocturnal panic attacks and many more
Poor sleep affects the overall health of the patient. In sleep studies, doctors place sensors to monitor brain waves, heart rate, breathing, and other psychological functions. This is an essential procedure to diagnose and address sleep-related disorders. However, billing is crucial in sleep studies to ensure accurate reimbursement and maintain the clinics’ financial stability.
However, as the healthcare resources perform almost all the healthcare operations, that’s why they don’t get adequate time to improve patient care. That’s where the sleep study billing services come into the picture. Their dedicated experts know about all the complex coding nuances to make a streamlined claim submission. Apart from that, they also help with prior authorization so that your staff can invest their time in improving patient care.
Top Reasons to Hire Sleep Study Billing Services
- Complying with the updated regulations: Healthcare regulations are constantly changing. That’s why it becomes difficult for healthcare resources to comply with the updated regulations as they have to take care of their patients also. On the contrary, sleep study billing services provide dedicated experts who are certified by the American Medical Association (AMA) and the American Academy of Professional Coders (AAPC). These experts stay updated with the Medicare policies and insurance guidelines. Apart from that, they also have in-depth knowledge of the complex nuances of the CPT and ICD codes to reduce coding intricacies. Not only that, they also thoroughly comply with the HIPAA law to make sure that the patient data is safe and secure.
- They help with prior authorization: Prior authorization is a complex process to manage, particularly for polysomnography and CPAP therapy procedures. This process often involves understanding the documentation requirements of each insurance company for prior authorization. Moreover, the insurers also have their own set of prior authorization rules. That’s where the third-party billing companies come into the picture. They verify the patients’ insurance eligibility, gather necessary documentation, and then submit prior authorization requests. Hence, with their help, the healthcare staff can invest their time in patient care by reducing their focus from the prior authorization process.
- They are highly cost-effective: The in-house billing team comes with a higher cost. It is because you have to train them and also buy separate office space for them. On the contrary, the sleep study billing services come with experienced billing professionals. These experts are previously trained in the billing process. Apart from that, the providers don’t need to buy office space for them as the outsourced companies provide office space for them. That’s the reason they are a cost-effective option compared to an in-house billing company.
Final Thoughts
As the healthcare staff performs almost all the healthcare operations, that’s why they don’t get any time to improve patient care. That’s where the sleep study billing services come up with their dedicated experts. These experienced personnel stay updated with all the coding regulations to make sure no coding error occurs. Apart from that, these experts also know the diverse payer policies to streamline the claim submission process. Moreover, these experienced billing personnel know how to work with your clinic’s EHR. Hence, if you want to streamline your healthcare operations, you may consider outsourcing a third-party billing service to take care of your billing operations.
