Thursday, March 31, 2016

Your Medical Billing Audits In 2016

By Tito Elk


Money is always a problem in healthcare. There never seems to be enough of it to go around. The healthcare industry is in a big change right now and many people feel like it's an unfair system and one that needs to change. There is a problem when a doctor cannot schedule in patients because of a contract not showing up in the insurer's database. When mistakes happen in healthcare, it costs the healthcare company thousands of dollars. It often disturbs the medical biller because it is a painful process. When a doctor receives a mess up, patients begin to wonder. What would happen if your patients received letters in the mail saying that their appointments were cancelled because the physician no longer accepted their medical insurance? What if this was incorrect because of a faulty computer system? What would you do?

Doctors today are often afraid to take certain insurances because the companies often deny their claims. This is a big problem happening in America today. In 2007, many physicians received denial letters from insurance companies. If a doctor used codes 99303 and 99333, their claim was often denied. The main reason was because Medicaid deleted these codes. Problems like these still occur. If you don't keep up with the medical coding industry, you will often get claim denials and not know why. Most of the time, you are unaware that a change even occurred.

The good news is that you have time to change the way that you have been doing your billing. It is best to inform your billing staff that you need a medical billing audit done. If they have no clue what you are talking about, it may be time to hire an outsourced company to do your billing. It is necessary because you cannot continue like this. You are losing far too much money. Outsourced billing companies often give you a monthly audit report.

A lot of men and women today have problems with their insurance being accepted at a physician's office. It is best to check with your network provider to see what doctor you qualify for. Most doctors report losing around 11% of their revenue due to incorrect billing. This is a lot of money if your practice earns 2 million dollars a year.

In order to get the most money back in your claims, you should have an experienced ICD-10 coder working with your healthcare company. If you don't have that, you are going to experience a lot of let downs in your billing. Without billing audits, most healthcare companies fail at getting proper reimbursement. Training your medical billing staff is key to your success. Your staff should attend at least one medical billing training session per month in order to see what still the same is and what has changed.




About the Author:



No comments:

Post a Comment

Related Posts Plugin for WordPress, Blogger...