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Our Specialty Services

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Expert Medical Billing Services for Specialized Practices

Stop wrestling with complex billing. Kovo RCM provides expert, tailored medical billing solutions designed specifically for specialties like allergy, anesthesia, radiology, and chiropractic care. Backed by 20+ years of experience, we streamline your entire revenue cycle. We manage the billing, so you can dedicate your time and energy to patient care. Ready to see your specialty thrive? Learn how Kovo RCM can help.
Discover how we can help your specialty thrive!

Allergy & Immunotherapy

We have a breadth of experience with multiple allergy & immunology practices.

Our clients span the range of solo practitioners to larger practices with a widespread network of locations across state lines. As those in the industry know, insurance carriers are using bundling edits and medical requests to delay and deny payment for allergy testing, serum preparation, respiratory diagnostics and treatment, and more. Our staff has honed the craft of appealing insurance denials specific to this specialty.

Anesthesia

New reimbursement models like bundled and quality payment initiatives (ACO, Medical Home, PQRS, etc.) are transforming the way anesthesia providers will be paid.

Our job is to help you navigate ongoing changes, provide insight and expertise into what's coming next, and help you make the most of your medical billing data through powerful reporting and analysis tools, available to you directly via our Client Portal.

With the emergence of ACOs, increased use of CRNAs, and declining reimbursement, anesthesiology practices are looking for ways to remain financially strong. Our job is to help you grow revenue, make sound business decisions, and navigate the challenges of the changing healthcare environment.

Our data interface specialists will work with your hospital IT departments to design and maintain interfaces that pull the data necessary for quick and accurate billing.

Cardiology

We possess extensive experience partnering with cardiology practices, from individual cardiologists to large multi-location groups.

Billing for cardiovascular services is uniquely complex, encompassing intricate diagnostic testing, interventional procedures (like catheterizations and ablations), device management, and imaging. Payors frequently scrutinize these claims through bundling edits, medical necessity reviews, and challenging modifier usage. Billing correctly for services such as echocardiograms, stress tests, and remote monitoring requires specific expertise to avoid delays and denials. Our team is adept at navigating these complexities. We excel in accurate coding, appropriate modifier application for multifaceted procedures, linking diagnoses to support medical necessity, managing prior authorizations, and skillfully appealing denials common in cardiology billing. We stay current with the latest coding guidelines from professional societies and payor updates to optimize your revenue cycle.

Chiropractic Billing

Outsourcing chiropractic billing can feel like a big step, but our expert team lets you focus more on your practice.

Kovo RCM will partner and support you with more than 20 years of experience as a Chiropractic billing company. Our chiropractic billing services are more efficient and can help you file claims, get paid faster & increase your revenue.

As independent Chiropractors look for ways to remain financially strong, working with a third party billing company is often a way to gain expertise and reduce costs. Kovo RCM is dedicated to helping our clients get paid fast!

Emergency Medical Services

For more than 15 years, Kovo RCM’s – Emergency Medical Services Billing division has offered ambulance billing services.

Our Emergency Medical Billing Services (EMS) clients are able to focus on their own services, knowing that claims filing, patient billing, and practice management are in the hands of committed professionals. Add the most personal attention available in the medical billing industry, and you can see why so many ambulance services rely on us.

ENT

With ongoing changes and greater regulation, independent otolaryngologists are facing declining reimbursement challenges.

At Kovo RCM, our job is to help you grow revenue, make sound business decisions, and navigate the challenges of the changing healthcare environment to remain financially strong. We’re the experts in ENT billing.

Family Practice

As independent family practices are looking for ways to reduce costs while maintaining a healthy revenue stream, outsourcing medical billing is a logical and positive consideration.

The challenge is in finding a billing partner that has a track record of success in billing for Family Medicine. As the population ages and more patients move into Medicare, we understand the challenges general practitioners face in remaining financially strong. The notion that billing for Family Medicine is simple as opposed to specialty medicine is a myth. Let Kovo RCM help you navigate MIPS and provide the resources you need to remain successful.

General & Specialty Surgery

Hiring a quality surgery billing company to strengthen your financial position is one of the most important decisions you will ever make for your practice.

The medical billing team at Kovo RCM is here to help you increase your income and lessen your work load!

With the emergence of narrow network health plans, bundled payments, greater regulation and MACRA, independent surgeons are facing declining reimbursements. Our job is to help you grow revenue and we do that by knowing your payor guidelines, filing requirements, and by making sure your claims are clean. Need help coding? We’ve got you covered with our staff of AHIMA and CPC certified coders.

IDR

Navigating out-of-network billing disputes can be complex and time-consuming. Our Independent Dispute Resolution (IDR) billing service offers a streamlined and efficient solution for healthcare providers facing payment disagreements.

We meticulously prepare and submit your claims for IDR, ensuring all necessary documentation and compelling arguments are presented to maximize your chances of a favorable resolution. Our expert team handles the entire IDR process, from initial submission to final determination, allowing you to focus on patient care while we work to recover the fair reimbursement you deserve.

Internal Medicine

We know internal medicine is more than just family practice for adults. The downward pressure on reimbursement can mean working harder and making less.

We work hard on RCM so internists can focus on their work. We do everything possible to get you paid, so you can rest assured, knowing that claims filing, patient billing, and accounts receivable management are in the hands of committed experts who will work with your staff in a supporting role to make sure your office function at the highest level possible.

Maternal-Fetal Medicine

As perinatologists know, billing for Maternal-Fetal Medicine entails a niche understanding of this subset of obstetrics.

We are well-versed in proper linking of diagnosis codes to support medical necessity; appealing claims lumped into a global pregnancy, bundling denials, code edits, etc. We actively follow coding updates and guidance issued by the SMFM.

Mental & Behavioral Health

Billing for mental and behavioral health and billing for counseling services presents several unique challenges.

Often, insurance companies will outsource mental health claims processing; complicating the claims filing and adjudication process. Clean claims submission is critical, and the Kovo RCM team's success rate of over 96% for first time submissions can be the difference for many therapists and mental health professionals.

We'll work hand in hand with therapists to make sure that all mental health billing, billing for counseling services and billing for therapy services are properly captured and keep your team aware of credentialing issues that may be hurting reimbursement.

Pathology

In today’s healthcare landscape, independent pathology labs and hospital based pathologists are looking for ways to remain financially strong.

Our job is to help you grow revenue, make sound business decisions, and navigate the challenges of the changing healthcare environment.

The Kovo RCM team is always working to stay on top of ever-changing requirements in the pathology billing industry. Your claims filing, patient billing, and accounts receivable management are in the hands of reliable, experienced pathology billing professionals located in the USA. Add the most personal attention available in the medical billing industry and you can see why so many healthcare providers trust us!

Radiology

Our experienced radiology billing services staff will work hard to get your radiology claims paid quickly and have a proven track record of success in all forms of radiology billing including general radiology, MRI, CT, and all other modalities.

Kovo RCM can also provide analysis of modality trends, revenue centers, and locations.

With the emergence of ACOs and declining reimbursement, radiology practices are looking for ways to remain financially strong. At KovoRCM, our job is to help your radiology practice grow revenue, make sound business decisions, and navigate the challenges of the changing healthcare environment.

We work closely with contracted hospitals and imaging centers to create and maintain data interfaces that get clean radiology claims out the door quickly, obtain the highest levels of efficiency, and keep your costs as low as possible.

Wound Care

Our team has significant experience working with a variety of wound care centers and practices.

Billing for wound management involves a detailed understanding of procedures like debridement, application of advanced dressings and grafts, and specialized therapies such as Negative Pressure Wound Therapy (NPWT) and hyperbaric oxygen therapy (HBOT). Common hurdles include meticulous documentation requirements, medical necessity challenges (particularly regarding frequency and type of debridement), bundling issues for supplies and procedures, and the correct application of procedure and site modifiers. Our staff is highly skilled in the nuances of wound care coding and billing. We are proficient in reviewing documentation to ensure compliance and support medical necessity, accurately coding complex debridements and applications, managing claims for supplies and specialized equipment, and effectively appealing denials related to documentation, bundling, and medical policy to secure appropriate reimbursement for your critical services.

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