Neonatology is a subspecialty of pediatrics that consists of the medical care of newborn infants, especially the ill or premature newborn. It is a hospital-based specialty, usually delivered in neonatal intensive care units (NICUs). The principal patients of neonatologists are newborn infants who are ill or require special medical care due to:
A neonatologist is responsible for the life and healthy recovery of the smallest human beings who pose the most extensive & complicated challenges. Partnering or Outsourcing the management of your revenue cycle to an offshore company like RM Healthcarelessens the burden of streamlining the hospital's financial aspect.
At RM Healthcare, we have a client base that spans across all 50 states, covers a wide range of hospitals with NICUs, physician practices, and medical billing companies. Our coders are proficient in ICD-9/10, CPT, HCPCS coding guidelines provided by CMS and AMA and certified by the American Academy of Professional Coders (AAPC). It would be fair to state that we have a decade of experience in neonatal billing & coding. We also specialize in LEVEL III NICU billing & coding.
We apply the correct codes for both E/M Services offered to a healthy newborn vs. NICU codes for newborns with congenital disabilities. To avoid rejections & re-submissions from the clearinghouse, our team submits clean claims the first time itself and abides by the policies, rules & regulations of all payers. Our coding team employs its extensive knowledge and facilitates the proper use of modifiers to avoid denials.
Physicians should include Newborn Care Services codes for evaluation and management (E/M) Services provided to normal newborns in the first days of life before hospital discharge. Codes for initial care of the normal newborn include:
The initial day of critical care for evaluating and managing a critically ill neonate, 28-days of age or less is reported with code 99468. We report this code for only one physician. If another physician provides critical care Services to the neonate on the same date, we report the Services provided using critical care service codes 99291-99292.
Subsequent days of critical care to the critically ill neonate are reported per day with code 99469. As with the initial critical care, code 99469 is used to report only for one physician on a given date.
We bring excellence, knowledge, and accuracy in neonatal billing and coding Services while building a revenue cycle devoid of defects for your hospital. Our team strives to introduce a friction-free billing, coding, claim submission, and payment posting process. We ensure persistent accounts receivable follow-up and prior authorization to avoid claim denials. RM Healthcare helps hospitals offer excellent care for their little patients, focusing on improving their administrative & financial excellence. We bring you a team of specialists who are:
Our clients typically see an improvement in revenue by 20% and a reduction in denials by a minimum of 15%. We achieve this by applying our expertise and process rigor.