How to Manage Clinical Reporting and Patient Debt Challenges in Medical Billing

How to Manage Clinical Reporting and Patient Debt Challenges in Medical Billing

Clinical reporting challenges can make inhouse medical billing a Herculean, resource consuming task for healthcare practices and increase the risk of rejected and unpaid claims. Medical billing outsourcing can help resolve these issues.

Tel: (800) 670 2809 Fax: (877) 835-5442 Website: www.outsourcestrategies.com

The demand for medical billing outsourcing is growing. With the increasing rate of treatment need, physician

practices

are

already

busy

places. Having an in-house team to perform billing

and

coding

tasks

can

prove

quite

expensive and resource consuming. Medical billing outsourcing can help healthcare practices

The Menace of Patient Debts With

insurance

claims,

maximum

reimbursement must be ensured. Claims must be processed quickly and accurately. If a claim form is incomplete or inaccurate, payment will be delayed.

manage their claims processes and get the

Patient debts need to be controlled. Some

reimbursements they are entitled to, while they

healthcare practices carry out the practice of

focus on enhancing the quality of care.

grouping accounts belonging to a specific time

The Challenge with Clinical Reporting Changing

clinical

inconvenience

to

reporting

practices

healthcare

cause

providers,

particularly when the healthcare industry is moving towards result-based payments. The EMR software is a positive step though, and most practices have implemented it or are moving in that direction. It has helped bring down documentation and clinical errors, and thereby bring down the number of rejected claims.

It is important to have a good billing team that would always update itself on rule changes and adaptations to insurance payment laws. It would help handle claim submissions efficiently. The billing team can also keep generating more efficient processes and methods of successful claim filing. A professional medical billing company does just that with its team of trained and experienced billing professionals.

period to bill them. There are various follow-up methodologies that are made based on the debt value and the time from when the debt has been outstanding.

An account being unpaid for more than four months is an indication that a mistake has probably been made by the insurance company.

According to industry experts, nearly 19% of denied claims are caused by an insurance provider’s mistake.

For most providers, more

than 10% of debts extend to more than four months, after which they end up written off and not paid.

Professional

medical

billing

services

are

aggressive about getting debts recovered. They end

up

healthcare succeed.

being

successful

practices’ Shorter

billing

billing

where

in-house

teams

cycles

and

do

not

higher

revenues are the expected results of outsourcing to an efficient medical billing company.

Professional Medical Billing Services

Outsourcing to a medical billing and coding company can help healthcare providers save

An efficient medical billing and coding

time, reduce overhead and increase collections

company will offer the following billing

and

solutions:

insurance carrier. They can focus more on

 Patient Scheduling and Reminders  Patient Enrollment  Insurance Enrollment  Insurance Verification

get

their

rightful

payment

from

taking care of their patients, fully confident that their medical billing company will help them get reimbursed for the services they have provided.

Contact Information

 Insurance Authorizations  Coding and Audits

Headquarters:

 Billing and Reconciling of Accounts

8596 E. 101st Street, Suite H

 Account Analysis and Denial Management

Tulsa, OK 74133

 AR Management  Financial Management Reporting

Main: (800) 670 2809 Fax: (877) 835-5442

The comprehensive medical coding solutions the company provides will generally comprise  Hospital / in-patient coding  Emergency room e-code evaluation  Medical coding audits  Backlog coding resolution services  DRG/ICD-9-CM coding validations  CPT medical coding  ASCs – Ambulatory Surgical Centers Coding  ICD-9 coding based on AMA and CMS guidelines

the

E-mail: info@managedoutsource.com Website: www.outsourcestrategies.com