5 Ways to End Your Medical Billing Woes

Are you frustrated about the growing number of billing errors and denials? Is your billing team unable to get clean claims out the door and on time? Medical billing is an often tedious and complex process, especially with ICD-10 coding requirements. However, every expert biller will agree that the success of medical billing boils down to a few basics. If your billers are not handling these factors in the right manner, then you will start experiencing a surge in a number of denied or delayed payments.

                                          

Claims

1.        It is necessary to ensure that your billers are not making mistakes when submitting claims. Even a small typo can lead to a big headache for your practice. The ideal solution to this problem is to have a dedicated staff at your practice for watching and correcting errors before claims are submitted to insurance companies. 

                                 

A/R Clean-up

2.        At times, payments are delayed if your practice isn’t sending enough information to the insurance company. For instance, the most common missing items are the date of onset, date of medical emergency and so on. There shouldn’t be any missed fields when claims are submitted. Your billers need to scrutinise each and every claim and ensure there is sufficient supporting documentation.

3.        The third tip to end your medical billing woes is to get prior authorisation. It is very important for providers to verify whether or not a prior authorisation is required before they perform procedures. The authorisation number needs to be on the claim when billers are ready to bill the procedure.
                                            

Billing and Revenues

4.        Not checking patient eligibility is a very common mistake due to which claims get denied by payers. It is important to check the patient’s insurance card at every encounter because, at times, a patient’s coverage gets terminated by the insurance company or the plan or payer gets changed. Remember, patients change their insurance plans quite often, so checking the details every time will ensure that your practice gets paid on time.

5.        Last but not the least, streamlining the billing process can certainly help you put an end to the frenzy. Many providers remain frustrated due to inexperienced billing staff. Due to their negligence and turnover, their practices have to lose a lot of money. To put an end to this woe, they prefer hiring a medical billing company. Billing companies work closely with practices and their staff to get the billing cycle under control.