With extensive knowledge of CPT codes, payer policies, documentation rules, credentialing requirements, and state regulations impacting CNS practice, we ensure you receive appropriate insurance reimbursements. Our certified clinical research nurse billing services include:
- Coding E/M services, consults, and procedures accurately based on complexity
- Handling credentialing and enrollment with health plans
- Submitting claims with proper documentation to support billing
- Following up on unpaid or denied claims and executing appeals
- Providing analytics on common diagnoses, most billed services, and revenue KPIs
Our clinical research nurse specialist team stays up-to-date on the nuances of commercial insurance, Medicare, and Medicaid billing guidelines for CNSs. We offer guidance on optimizing your revenue integrity. Contact us today to learn more!
