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