Is Your Medical Software Billing Company Negligent?

Outsourcing your medical billing can be a boon for your practice, but not if you’re with the wrong service. There’s significant variation in the way physician billing companies function, so unless you perform a thorough due diligence before you enter into a contract, you may not save the amount of money you expected. Worst case, you could end up in serious regulatory trouble. We’ve written several posts on features to look for in a billing company, including state-of-the-art technology and...

Da Nile Ain’t Just a River in Egypt – It’s in Your Medical Practice

To make sure that your medical practice avoids denied claims from insurers, it is important to know which claim codes are the most often denied and why these denials occur. According to ReMatrix, for the period of March 1 through March 31, 2014, the top most common unexpected medical practice denials fell under the following codes: Five Most Unexpected Denial Reasons All Practices In US March, 2014 Code Description CPT Code 99213 Level 3 Outpatient Doctor Visit CPT Code 99214...

Four Steps to a Comprehensive Patient-Pay Strategy

Until recently, the patient’s share of a typical office visit was a fairly straightforward item and an incidental to practice revenue. Often, it was a simple matter of collecting a $15-$20 co-pay. But today, accurately identifying patient responsibility prior to the visit and seeing that it’s collected at the appointment can mean the difference between practice failure or success. The process has become exponentially more complicated, involving higher and sometimes tiered co-pays, co-insurance, deductibles, prior authorizations, varying payer rates, and...

10 Common Medical Billing Mistakes That Cause Claim Denials – Part 2

In our previous post, we discussed the first five most common medical coding and medical billing mistakes that cause claim denials. Today we will walk through the next five common reasons claims are denied. 6. Duplicate billing. Many times, a duplicate bill is the result of human error. However, duplicate bills can result from resubmitting a claim instead of a follow up or canceling a procedure or test but not removing it from the patient account.All claims processing systems contains...

10 Common Medical Billing Mistakes That Cause Claim Denials – Part 1

Medical coding and billing involve complex processes that can differ depending on the patient, insurer and procedure. Even the most diligent financial services departments experience claim denials, but knowing the most common mistakes can help you take steps to avoid them. These top coding, billing, and filing errors are a digest of actual clearinghouse data derived from millions of medical claims. The top five of the 10 most common medical coding and billing mistakes that cause claim denials 1. Coding...