While 100% is no guarantee, there are five basic mistakes that many family practice billing services make which if they can be
avoided would increase the amount of revenue that is generated.
Basic Inaccuracies in Filling Out the Form : It can be pretty easy to make mistakes
when filling out the forms, particularly with physicians having a number of
things on their plate during the day. Even the smallest inaccuracy like wrong
spelling of patient’s name can lead to claims being denied and having to re-file
the claim. To reduce inaccuracies, follow a basic checklist each time and have
the form seen by another pair of eyes to ensure that it is accurate.
Not Verifying Insurance of Patient :This may be the most common one as patients may
have coverage that has changed or has been terminated which means they are not
eligible for the services you provide. Too many doctors assume that a patient
has the same insurance since when they first entered their office and never
bother to ask or check if it is still the same. Be sure to verify the insurance
every time to avoid this issue.
Not Billing Enough : It’s surprising just how many family practice billing workers are not aware of the proper billing
rules for services that NPPs or Non-Physician Practitioners perform. By not
understanding the incident to billing rules along with the shared visit
regulations that are laid out by the physician, it is quite possible that these
services will not be properly billed with means a loss that might amount to 85%
of the total fee. This is the type of loss that no practice can afford to
make.
Negligent Audit : The chart audit is designed to track all parts that make up a claim so that everything is billed properly. Unfortunately, it’s
fairly common for errors to be made when a test or procedure that was scheduled
did not occur Larry Nance Jr. Jersey , but the billing went forward anyway. This exposes the physician to fraud even if the mistake was an honest one. This is
especially true if the services are billed separately and not bundled
together.
Improper Codes : Another mistake that many doctors make is not putting the right code on the form. Or, they do put the right code, but it is so
badly written that the staff misinterprets it and changes the code to something
else. Not having the right code leads to rejection and re-filing of claims. This
can be especially problematic if the code books are not updated regularly. In
addition, billing under the wrong code for the purposes of getting a better
reimbursement lays the groundwork for fraud.
In order to get the right family practice billing, you may want to use the services of a medical billing
company to avoid these five common mistakes.
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