ENT / Otolaryngology Medical Billing Services
Lower your denials and increase revenue cycle efficiency with our ENT billing services in the USA. Medheave has been helping providers with otolaryngology medical billing and coding, so they can receive reimbursement without any issues.
24/7 Availability
Faster claims turnaround
98–99% clean claim rate
Why ENT Billing Requires Specialized Expertise
ENT medical billing and coding complexities keep the healthcare practices overwhelmed with administrative burden. Medheave, as a renowned otolaryngology billing company, helps medical providers in otolaryngology compliance standards by maximizing accuracy, resulting in 2x revenue growth.
Our certified HIPAA-compliant billing experts accelerate otolaryngology reimbursement optimization, increasing profitability for all sizes, types, and patient pools of practices. The ENT billing audit team of our company identifies frequent coding errors due to multiple surgical components to increase your compliance with payer policies unique to otolaryngology. Protect your revenue every time with the help of our ENT claims management solutions in the USA.
Medheave’s Comprehensive Otolaryngology Billing Services
Eligibility & Benefits Verification
With ENT insurance verification, we offer lower claim denials, resulting in higher collection rates and clean claim submissions. Prompt eligibility details are obtained from insurance companies so you can provide approved medical care without the fear of denials.
ENT-specific Coding
We offer ENT coding services comprising seasoned medical coders, having full command of ICD-10 codes for otolaryngology, guaranteeing HIPAA-compliant billing. Using accurate ENT coding modifiers helps RCM staff in precisely decoding provider notes into medical records.
Pre-authorizations
Our ENT practice's revenue cycle management obtains ENT prior authorization from payors 24 hours in advance to ensure prompt medical care is ready to be provided to patients. We help practices provide otolaryngology medical necessity documentation for complicated procedures for maximum payer reimbursement.
Charge entry & Claim Submission
AI-powered medical claims processing improves ENT charge capture and compliance with ICD-10, CPT, HIPAA, and HCPCS. Up-to-date code sets. Dedicated ENT billing team ensures timely claim submission, boosting faster reimbursement, higher collection rates, and lower claim denials.
Denial Analysis & Appeals
We offer dedicated ENT denial management for medical practices for detailed analysis of each case. Our AAPC-certified specialists rework claims to file appeals within 24 hours after receiving a denial and help you reduce administrative overhead costs.
AR Management
The patient billing support team of Medheave thoroughly attends to your AR follow-up needs to ascertain that RCM (Revenue Cycle Management) is working optimally. Improved ENT practice revenue is achieved by recovering owed amounts from payers and patients.
Financial Performance Reporting
Our ENT RCM services provide transparent reporting on the current financial situation of your practice through an interactive dashboard, displaying daily claim submissions, denials, appeals, payment posting to in-process claims, etc. ENT billing audit reports help physicians in making informed decisions.
ENT Coding Expertise That Boosts Reimbursement
ICD-10 Codes Used in ENT
Our certified ENT coders have complete knowledge of the latest ICD-10/CPT updates, ensuring precision at every step. Common ENT CPT codes & ICD-10 coding we use are:
- J01.90 (Acute sinusitis, unspecified)
- J32.9 (Chronic sinusitis, unspecified)
- J35.01 (Chronic tonsillitis)
- J35.3 (Hypertrophy of tonsils and adenoids)
- H66.90 (Otitis media, unspecified)
CPT Surgical Codes
We have comprehensive familiarity with ENT surgical coding pertaining to various procedures, like:
- 42826 (Tonsillectomy, primary or secondary, age 12+)
- 42820 (Adenoidectomy, primary, under age 12)
- 30520 (Septoplasty)
- 31231 (Nasal endoscopy, diagnostic)
- 69436 Tympanostomy (ear tube insertion)
Common ENT Modifiers
The unparalleled accuracy of correct use of modifiers for ENT clinics and ambulatory surgical centers helps practices to bill the patient for complex procedures. The most common modifiers we use are:
- Modifier -25 E/M coding for ENT service on the same day
- Modifier -50 Bilateral procedure
- Modifier -59 Distinct procedural service
- Modifier -76 Repeat procedure by the same physician
- Modifier -78 Unplanned return to the operating room by the same physician
Common Otolaryngology Billing Challenges We Solve
Medical billing outsourcing to Medheave resolves the billing challenges ENT specialists face every day, including:
- Unbundling errors
- Incomplete documentation
- Surgical coding complexity
- Bundled procedures
- Prior authorization barriers
- High denial rates
ENT Diagnoses and Procedures We Support
Our ENT medical billing services for Otolaryngologists in the USA support the billing of all procedures and diagnoses performed at your clinic, ranging from:
- Ear disorders
- Nose & sinus procedures
- Throat & voice surgeries
- Sleep medicine (sleep apnea coding)
- Head & neck oncology
- Septoplasty
- Allergy testing
- Thyroid disorders
- Vertigo / Balance disorders
- Tonsillectomy
Why ENT Practices Choose Medheave
- 24/7 support
- ENT-certified coders
- HIPAA-compliant workflow
- Transparent analytics
- Proven revenue improvement
- US-based ENT billing team
- 40% reduction in A/R days
- Faster reimbursement
- Denials lowered by 50%
- Minimum of 30% increase in revenue
Get Started With Medheave ENT Billing Services
Our ENT revenue cycle management team helps medical professionals in ENT documentation improvement with lasting results on profitability and optimization. Get on board today to see the results
