Endocrinology billing and coding demand precise knowledge of procedure and diagnosis rules along with constant awareness of current reimbursement policies. CureLife turns that complexity into clean, accurate claims by aligning your documentation with the correct CPT, ICD 10, and HCPCS selections for services such as thyroid imaging and biopsy, continuous glucose monitoring, insulin pump starts and adjustments, infusion therapy, and complex lab panels. Our certified coders stay current with CMS and commercial payer updates so each claim reflects medical necessity and coverage criteria.
To prevent denials, we apply rigorous pre submission checks that address common risk areas including overcoding, undercoding, and unbundling. NCCI edits, modifier accuracy, global period considerations, place of service, and frequency limits are validated before a claim is sent. Upfront eligibility and prior authorization workflows ensure that high cost drugs, devices, and imaging have the approvals required so payment is not delayed.
Clean claims are transmitted electronically, monitored in real time, and corrected immediately if a clearinghouse rejection occurs. Payments are posted promptly from ERA files, underpayments are flagged against contract terms, and any denials are resolved with targeted corrections or an appeal supported by clear clinical notes.
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Endocrinology deals with various disorders that require precise coding. At times, coding can be challenging and results in disruption of cash flow.
Payers expect clear medical necessity and complete notes for services like CGM interpretation, insulin pump training, and thyroid biopsy. Missing histories, incomplete procedure details, or absent interpretation statements often lead to denials.
Coverage for specialty drugs, devices, labs, and imaging varies by plan. Confirming eligibility, deductibles, referral rules, and frequency limits is time consuming but essential to prevent unpaid claims.
Many endocrine services require approval in advance, including continuous glucose monitors, insulin pumps, GLP 1 therapies, DEXA scans, and certain imaging. Proactive authorization prevents cancellations and claim rejections.
When denials occur, fast root cause analysis and organized appeals are critical. Without a structured process, resubmissions stall and revenue remains tied up in accounts receivable.
Endocrinology often includes services affected by payer bundling rules. Knowing when separate payment is allowed and applying the correct modifiers ensures all eligible reimbursement is captured.
CureLife brings together certified, experienced billers and coders with specialty depth across many fields, including endocrinology. Our team follows rigorous quality reviews, stays current with payer policies and CMS guidance, and continuously refines workflows as we expand services.
We integrate smoothly with your current billing and EHR or EMR systems, or you can use our proprietary platform that stays up to date with current codes, regulations, and data security standards.
Every practice receives a named account manager who understands your operations and goals. You get real time visibility into collections, denial trends, payer performance, and AR aging through simple dashboards and scheduled reviews.
We start by understanding your practice’s workflow and unique requirements to tailor our services.
We collect patient information and confirm insurance eligibility before appointments.
Our certified team applies the correct codes to each service for smooth claim processing.
We send claims electronically to insurance companies, reducing wait times and errors.
All payments from insurers and patients are recorded promptly for clear financial tracking.
You receive regular reports and updates, plus our team follows up on any outstanding claims to maximize your revenue.
Let CureLife handle your billing, so you can focus on what matters most caring for your patients. Our expert team is ready to help you increase revenue, reduce administrative stress, and streamline your entire billing process.
At CureLife, we are committed to maintaining the highest standards of security, privacy, and compliance in the healthcare industry. Our certifications include:
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+1 (763) 392-3936
Info@curelife.co
11524 Elmwood Ave N Champlin, MN 55316-2665, USA