Global Healthcare Resource
Rheumatology Medical Billing Services
Custom-tailored to match your organization's unique rheumatology revenue cycle management needs.
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Revenue Cycle Management for Rheumatology
Custom-tailored rheumatology billing services and coding to match your organization's unique needs.
Global Healthcare Resource offers custom revenue cycle management and patient call center services for the rheumatology field. Our teams of billing professionals, coders, and call center agents operate as a seamless extension of your team to streamline processes and eliminate expensive hiring, training, and turnover costs.
After discussing your scope of work, Global will assemble a team of highly trained professionals who will perform revenue cycle processes exclusively for your project. Global brings expert knowledge to reduce denial rates, improve coding accuracy, and perform billing tasks specific to rheumatology.
About Our Service
Global Healthcare Resource supports rheumatology practices by developing expert teams who understand the complexities of rheumatology medical billing and coding. We offer a range of services aimed at helping you focus on patient care while streamlining operations and improving ROI.
Our Rheumatology Medical Billing Solutions
We provide cost-effective solutions for end-to-end billing within the rheumatology specialty. Our teams have expertise in any EHR system, streamlining patient intake processes like patient demographics and benefits eligibility verification. Our accounts receivable teams also research denied or unpaid claims and refile them so providers can keep their hard-earned revenue.
We handle common challenges within rheumatology, like billing the proper units and distinguishing between specialty vs. buy-and-bill drugs. Our experts know how to bill for discarded medications like the J code for parts of a single-use medication. They also handle challenges like billing multiple injections on the same day, even when insurance companies differ in billing practices.
Our Medical Coding Solutions
Our dedicated team of medical coders is qualified in professional and facility coding and follows strict CPT, ICD-10, DRG, and HCPCS guidelines for inpatient and outpatient records. Many of our coders are also AAPC certified and can obtain any additional certificate required by your organization. They carry extensive knowledge of CPT codes used within rheumatology and strive for specificity, including the location of arthritis in the body, rheumatoid factor, and organ or system involvement.
Our teams providing rheumatology coding services maintain nearly perfect accuracy rates identified through in-house and external compliance auditing. Our experts in India and the Philippines have extensive knowledge of Medicare, Medicaid, and payer guidelines in every state.
Our RCM Services for Rheumatology
Global Healthcare Resource provides experts who operate as an extension of your team to provide revenue cycle services. These services minimize time-consuming revenue cycle management, allowing for more time spent on areas of your business that matter most. We offer cost-effective services like medical billing and coding, patient eligibility, and physician billing.
Why Global Healthcare Resource?
With 25 years of excellence in medical coding, billing, and related services, Global Healthcare Resource serves as a trusted partner to meet your organization's requirements. Here are a few reasons we stand apart from our competitors:
- Training: New and existing hires complete Global Academy to gain the knowledge necessary to handle revenue cycle management for particular healthcare applications.
- Efficiency: The Time Zone Advantage allows our teams to work while our clients are asleep, completing tasks from the previous day to keep operations running quickly.
- Customization: Global Healthcare Resource customizes client relationships to meet your operations and goals. We even create tailored teams with rheumatology expertise.
Talk to Us Today
We operate as an extension of your team to complete rheumatology revenue cycle services. Our work allows you to focus on serving patients while we manage revenue collection and enhance profits.
Discuss our services in more detail by contacting us online to schedule a meeting.
Frequently Asked Questions
Various types of rheumatology practices can benefit from Global Healthcare Resources billing services, including:
- Solo Rheumatology Practices: Independent practitioners seeking to streamline billing processes and improve cash flow.
- Group Rheumatology Practices: Multi-physician practices that require efficient billing solutions to manage multiple providers and patient accounts.
- Academic Medical Centers: Institutions that need specialized billing services to handle complex cases and research-related billing.
- Outpatient Clinics: Facilities providing outpatient rheumatology services that require accurate billing for a high volume of patients.
- Telehealth Rheumatology Services: Practices offering telehealth consultations that need to navigate unique billing requirements for virtual visits.
Rheumatology medical billing is the process of submitting and managing claims for services provided by rheumatology practices, including consultations, diagnostic tests, and treatments for conditions such as arthritis and autoimmune diseases. It is important for rheumatology practices because it:
- Ensures Accurate Reimbursement: Proper billing practices help ensure that providers receive appropriate reimbursement for the services rendered.
- Facilitates Cash Flow: Efficient billing processes contribute to timely payments, improving the practice's cash flow and financial stability.
- Reduces Claim Denials: Accurate coding and documentation minimize the risk of claim denials, allowing practices to collect revenue more effectively.
- Supports Compliance: Adhering to billing regulations and payer requirements helps practices avoid penalties and maintain compliance.
Rheumatology billing differs from billing in other medical specialties in several ways:
- Complexity of Conditions: Rheumatology often involves chronic and complex conditions that require detailed documentation and coding, making billing more intricate.
- Specific Codes: Rheumatology practices use unique codes (e.g., ICD-10 codes) that are specific to rheumatologic conditions, necessitating specialized knowledge for accurate billing.
- Multifaceted Treatments: Treatments may involve a combination of medications, therapies, and diagnostic tests, requiring careful tracking and billing for each component.
- Payer Variability: Different payers may have varying requirements for rheumatology services, making it essential for practices to stay informed about specific payer policies.
Effective billing practices can improve revenue for rheumatology providers by:
- Increasing Collection Rates: Streamlined billing processes and accurate coding lead to higher collection rates and reduced days in accounts receivable.
- Minimizing Denials: Proactive management of claims and thorough documentation help minimize claim denials, ensuring that more claims are paid on the first submission.
- Enhancing Patient Communication: Clear communication with patients regarding their financial responsibilities can lead to timely payments and improved patient satisfaction.
- Identifying Revenue Opportunities: Regular analysis of billing data can help identify missed charges or underpayments, allowing practices to capture additional revenue.
The benefits of using specialized billing services for rheumatology include:
- Expertise in Rheumatology Billing: Specialized billing services have in-depth knowledge of rheumatology coding and billing practices, ensuring accuracy and compliance.
- Reduced Administrative Burden: Outsourcing billing allows rheumatology practices to focus on patient care rather than administrative tasks, improving overall efficiency.
- Improved Cash Flow: Dedicated billing services can expedite the claims process, leading to faster payments and improved cash flow.
- Access to Advanced Technology: Specialized billing services often utilize advanced billing software and analytics tools, enhancing the overall billing process.
- Ongoing Compliance Support: These services help practices stay updated on changing regulations and payer requirements, reducing the risk of compliance issues.
Rheumatology practices can stay compliant with payer requirements by:
- Regular Training: Providing ongoing training for staff on billing regulations, coding updates, and payer policies to ensure everyone is informed.
- Implementing Standardized Processes: Establishing standardized billing and documentation processes to ensure consistency and accuracy in claims submissions.
- Conducting Audits: Performing regular audits of billing practices to identify and address any compliance issues or discrepancies.
- Staying Informed: Keeping up-to-date with changes in healthcare regulations, payer policies, and coding guidelines to ensure compliance.
- Utilizing Technology: Leveraging billing software that includes compliance features and alerts to help identify potential issues before claims are submitted.
The integrity of your data is our #1 priority.
SOC 2 Type 2 Compliant.
SOC 2 Type 2 audits determine how well an organization safeguards customer data and how those controls operate over a 9-month (minimum) time frame. Reports are issued by third party auditors who review the following principles: Security, Confidentiality & Availability. Global Healthcare Resource is proudly SOC 2 Type 2 compliant.

SECURITY
The security principle addresses whether an organization's system is protected (both physically and logically) against unauthorized access.

AVAILABILITY
The availability principle addresses whether the services an organization provides is operating with the type of availability that client's expect.

CONFIDENTIALITY
The confidentiality principle addresses the agreements made with clients in regard to how their information is used, who has access to it and how it's protected.
ABOUT US
Global Healthcare Resource is a full service healthcare solutions firm providing low-cost, back office functions for U.S. healthcare providers and billing companies throughout the entire revenue cycle.
CONTACT US
715 Peachtree St NE #100,
Atlanta, GA 30308
404-845-7771
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