Internal Medicine Physicians are specialties who apply clinical expertise and scientific knowledge for the diagnosis and treatment of adults that includes health concerns to complicated illnesses. Internal Medicine physicians are called as internists, the term was coined after Sir William Osler who is the father of internal medicine in the United States.
Internal Medicine Physicians usually work as consultants on patient’s diagnoses, this makes internal medicine billing complicated compared to other practices billing. Internal Medicine physicians or Internists who advise specialty physicians on patient health usually go through the complete process of diagnosis to treatment; hence it becomes imperative to maintain complete documentation of patient health.
“Internal Medicine is complex, with regulations across the state boundaries we have private insurance companies that have rules for internal medicine billing. This results into payment delays and documentation scrutiny if a slight discrepancy appears. Legion Healthcare Solutions (LHS) has certified coders of billing internal medicine but during post-payment analysis, we realize that a part payment could be done for a certain diagnosis that is not covered under insurance. Here prior authorization from payers becomes important because internists and we would know where the payment come from rather waste time.”
– Medical Billing Managers at LHS
LHS believes that Prior Authorization and documentation will lead the for internal medicine billing, patients’ underlying condition needs to be documented and coding for complicated conditions need to be uniformly coded.
Set up call with our specialist