Medical billing claims get denied for a variety of reasons. However, there are a few common mistakes front-end personnel make that routinely lead to denied claims. In an effort to lessen the total number of denials today, we have compiled a few helpful tips. Keep reading and discover how you can improve your medical billing process in 2019 and beyond.
Verify What Is Covered By Your Payers
It is imperative that all insurance details are checked before anything is submitted for approval. All too often, procedures are not covered under the patient’s benefit plans. If you have any doubt, it is always a good idea to verify with the insurer before any procedure. This will help to eliminate problems down the road. In many cases, patients themselves do not know what is covered under their plan, so medical practices need to do their due-diligence.
Provide All Necessary Information
Did you know that even the smallest omittance of information can result in a denial? Unfortunately, this happens all the time because everything needs to be precise. Before a claim is submitted for approval, it should be double, and even triple-checked for accuracy. If possible, it should be checked by more than one person to ensure it is entirely accurate. Technical errors and typos, for example, are extremely common. Even one inverted number can result in a rejection. In order to protect your medical organization against rejections, you need to have a thorough process for collecting and verifying information before it is submitted for approval.
Submit Claims As Soon As Possible
Without rushing the process, you want to submit claims promptly. The longer you wait, the more problems you will likely to have. Since issues often arise, (mistakes, rejections, etc.), you will need to give yourself plenty of time to remedy any roadblocks that your organization is facing.
Ensure You Only Submit Claims Once
When claims are accidentally submitted more than once, they are often rejected. Unfortunately, this is more common than you would think. More often than not, it is because of poor communication, and people do not realize they have made a mistake until after the fact when they receive the rejection notice.
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