ENT Billing Services



Medical billing is a highly complex area and it requires experience-based knowledge and expertise to contend with insurance companies. When it comes to ENT billing, the situation gets even more complex. Such complexity can be handled only by a medical billing company that is staffed with well trained ENT billing professionals. The medical billing specialist must be familiar with the specific codes and rules that make up the world of ENT billing.

With ENT facing ever increasing costs they must insure that money is not being left on the table because they have a billing company that is not an ENT billing expert. ENT physicians must also be aware that that many billing companies that claim ENT billing expertise actually outsource their ENT billing work to at home billers. Situations like this are fraught with risk since the remote workers are not working in a controlled and monitored environment.

One of the major drawbacks of hiring a medical billing company that does not specialize in ENT billing is their lack of familiarity with the procedures and the terminologies used. Even if the medical billing company serves one or two ENTs, they will lack the depth and breadth of expertise required for successful ENT billing. Moreover if the hired company does not specialize in billing for ENTs, then they will not have the expertise to effectively appeal denied claims or answer questions raised by the insurance companies.

Good ENT billing requires the ability to track underpayments. This requirement often exceeds the capabilities of the billing software used by many billing companies. This is a critical failing since proper pursuit of underpayments can increase an ENT's collections by 7 to 10 percent.

The ENT-driven difficulties of medical billing encompass patient billing also. An ENT's patient balance process is more challenging because most of the balances are larger than the typical family practice balance. Coupling this with the difficulties of explaining to a patient their complicated Explanation Of Benefits and the ENT terminology on their bills drives the need for patient collection specialists that have a strong expertise in ENT billing.  If patients are not handled with care then ENTs will see their patient collections fall and their patient complains rise - not a good combination.

The bottom-line: It is not worth the risk for an ENT to use a billing company that does not focus on ENT billing.

To learn more about how ClaimCare Medical Billing Services can help your ENT practice please fill out the form to the left or contact a local ClaimCare office.