Medical billing management mistakes can cause devastating problems for your practice, and more importantly, your clients. Identifying the common mistakes and taking preventative measures goes a long way in ensuring your practice runs smoothly and keeps your patients happy. Here are some of the most common medical billing management mistakes to avoid this year.
Missing Details or Misinformation on Claims
Missing details or misinformation are usually the most difficult and time-consuming mistakes to correct. These errors can include an incorrect birth date, incomplete information or failure to update information on insurance claims. Some patients may also forget to provide changes in their insurance information, and medical billing specialists also assume nothing has changed. Remind your patients to update their information, and make sure to use the updated information.
Medical coding is an art and skill, and some insurance companies request for specific coding and they can even deny the claim if not as required. A correct code can, therefore, make a difference between a denial of benefits and a patient enjoying full coverage. So, follow the exact coding for your billing to be processed correctly and on time.
With thousands of patients and hundreds of insurance companies, it can be overwhelming to manage your billing. A good medical billing management system can help reduce errors and keep your practice running smoothly. As such, train your employees and have the best billing management strategy to make sure that claims are filed and processed effectively and efficiently.
Most insurance companies need prior authorization for specific services. With numerous administrative requirements, this is often assumed and can be costly for your patients and your practice. The rule of thumb is to ensure all procedures that need prior authorization receive it on time.
Services Not Covered
Insurance firms may not cover all of your services. Although it can be repetitive and time-consuming to check with the insurance company, it is crucial to do so. Similarly, also verify that any additional provisions are covered by the company to avoid denials.
No Referral on File
Generally, patients must get referrals from their primary care doctors before visiting a specialist. But this can differ from one insurance company to another.
Having a good medical management team and systems can improve your practice and make life easier for your patients and staff. Get in touch with Advanced Reimbursement Solutions to consult with one of our experts in Wilmington or Phoenix and learn more about medical billing management. Contact us today to book your appointment.