Medical Billing Partners, LLC

Medical billing challenges and solutions to those problems Whether it’s a physicians office, surgery center, retirement community, or an urgent care facility, there are some medical billing issues that can impact your revenue and how customers perceive your business. #1 Confusing Invoices Patients often have a difficult time reading or understanding invoices. This is a huge challenge as the practice needs to hire a dedicated staff member to quickly and smartly handle such queries. Since it can be hard to find and retain qualified employees, it is best that you work with a full service medical billing company like Medical Billing & IT Partners. We have a dedicated team to take care of all patient inquiries such as answering patient questions, explaining invoices, and offering a variety of professional collection methods. #2 Incorrect Information Typically, about 80 percent of all medical bills contain errors. Errors such as charging your clients for services not confirmed can result in fraudulent charges, even if they are minor mistakes. Who would want to recommend a practice that bills for procedures not performed? An effective way to eliminate the risk is to verify the claim information and red flag mistakes for review through the use of specialized billing tools. #3 Double Billing  One of the biggest culprits is duplicate billing. The mistake was due to a system glitch; however, some reports show that duplicate billing is also linked to fraudulent activities. Nearly 46 percent of provider-related fraud cases are linked to duplicate billing and invoicing for services not required. Providers are answerable to the government and they have to be very careful when preparing invoices. In addition to this, you can consider creating proper keying procedures and establishing an end-of-day invoice review. #4 Incorrect Coding This may come as a surprise to some but improper coding is one of the most common mistakes made by medical services providers. This occurs due to a variety of reasons, including the use of old or outdated coding books, missing codes, unbundling of charges, underbilling, overbilling, and using CPT codes that are not included in your insurance carrier’s contract. Some of these coding issues, such as underbilling and overbilling, are related to fraud, however, they may also occur due to genuine mistakes. #5 Not Following Up A denied claim is not the same as a rejected claim. A rejection occurs before the claim is processed, whereas a denial occurs when a claim has been processed and found to be unpayable. However, nearly 30 percent of unpaid claims are never followed up on. A great way to solve this problem and avoid these common medical billing challenges is by working with a medical billing company like Medical Billing & IT Partners. We offer all services related to medical billing and information technology and can gets your practice paid. Call 888-257-5533 today to start a conversation.