Neonatology Medical Billing Services

Neonatology practices face intricate billing challenges due to the specialized care provided to critically ill newborns, coupled with stringent payer requirements. Accurate coding and thorough documentation are essential for timely reimbursements and compliance.

At Synergy HCLS, we offer tailored billing solutions for neonatology providers, including eligibility verification, precise coding with CPT and ICD-10, claims submission, denial management, and accounts receivable follow-ups. Our expertise in handling complex neonatal procedures, intensive care services, and bundled billing ensures optimized revenue cycles. By partnering with Synergy HCLS, neonatology providers can focus on delivering exceptional care while we manage the complexities of medical billing.

Neonatology Medical Billing Services

Neonatology practices face unique billing complexities due to the specialized and critical care required for newborns. Accurate coding and compliance are vital for ensuring timely reimbursements and meeting payer regulations.

By partnering with Synergy HCLS’s Neonatology Medical Billing Services, providers can streamline revenue cycle management, reduce claim denials, and focus on delivering exceptional neonatal care.

Common CPT Codes for Neonatology Medical Billing:

Neonatal Intensive Care:
99468: Initial hospital visit for a critically ill neonate, per day.
99469: Subsequent hospital visit for a critically ill neonate, per day.

Newborn Screening Services:
36416: Blood specimen collection by venipuncture.
99431: Initial hospital care for normal newborns.

Respiratory Support Services:
94640: Pressurized ventilation management.
94760: Assessment of blood gases.

Follow-Up Care:
99432: Hospital visit for a healthy newborn.
99433: Subsequent hospital visit for a well newborn.

Synergy HCLS Neonatology Medical Billing Services

At Synergy HCLS, we provide specialized billing solutions designed to meet the unique needs of neonatology practices. Our services streamline complex billing processes, enhance revenue cycle management, and ensure compliance with payer regulations.

Key Services We Offer:

Eligibility Verification Services:
We verify patient insurance coverage, identifying benefits, deductibles, and co-pays to reduce claim errors and improve approval rates for neonatology services.

Comprehensive Billing Analysis:
Our experts ensure accurate coding for neonatal intensive care, newborn screening, respiratory support, and follow-up services, minimizing denials and ensuring timely reimbursements.

Accounts Receivable (A/R) Management:
We streamline A/R processes to reduce payment delays, improve cash flow, and allow providers to focus on newborn care.

Denial Management:
Our team resolves claim denials by identifying errors and resubmitting corrected claims, minimizing revenue loss and maximizing reimbursement.

Credentialing Services:
We assist neonatology providers with payer credentialing, ensuring smooth enrollment and consistent revenue streams.

Proper Documentation for Neonatology Medical Billing Services

Key Features of Our Neonatology Medical Billing Services:

Comprehensive Patient Records
We maintain detailed records, including birth histories, neonatal assessments, treatment plans, and follow-up care, ensuring accurate and timely claims processing while meeting payer requirements.

Precise Coding and Service Documentation
Our billing specialists use CPT, ICD-10, and HCPCS codes to ensure accurate coding for neonatal intensive care, newborn screening, respiratory support, and other specialized services, reducing denials and maximizing reimbursements.

Accurate Diagnostic and Treatment Reports
We thoroughly document diagnoses, treatments, and medical necessity to align with strict billing regulations and streamline the reimbursement process.

Clear Physician Orders
Our team ensures detailed and accurate documentation of physician orders for diagnostic tests, respiratory therapies, medications, and treatments, supporting compliance and claim validity.

Detailed Service Logs
From routine newborn assessments to specialized neonatal intensive care, we meticulously document all services provided, creating a complete and compliant billing trail.