Four Medical Billing Errors ABS Won’t Stand For
Patients rely on their trusted medical providers to keep them safe and healthy. However, when medical billing errors meet these patients at the door, the exaggerated finances only further the pain. American Business Systems (ABS) shares its tips on avoiding these errors below.
#1: Coding Errors Leading to Little Insurance Coverage
Medical billing errors leave patients with hundreds of dollars in out-of-pocket costs. A common problem includes coding errors where the biller uses an outdated or mistyped code not valid in the system. Incorrect codes cause insurance providers to retract coverage on certain healthcare services leading to claim denial.
Too many or too few digits, upcoding, under coding, and missing paperwork also affect how insurance companies account for medical treatments.
Medical companies need a billing platform like ABS to monitor evolving codes and incorrect inputs. ABS, a medical billing franchise support provider, also provides user training for effortless system operation.
#2: Duplicate Billing
If a product or service name changes in the system or medical billing errors occur, the system will leave a patient paying more out of pocket upon accidentally resubmitting a claim. This duplicate billing process charges patients twice for each procedure or service, resulting in claim denial.
Patients should obtain an itemized printout of procedures done to check for incorrect billing, determine what the insurance company is covering, and decipher out-of-pocket costs.
#3: Missing Information
Even in top-notch skilled nursing facilities, the smallest detail missing from a claim changes it. For instance, missing a first or last name, address, phone number, or cause or date of an accident leads to claim denial. Similarly, accidentally mismarking a box or filling in the wrong information will cause a mismatch in records that insurance companies will flag.
Before submitting claims, patients should double-check all parts of their forms to prevent this from happening.
#4: Eligibility for a Claim
Checking insurance coverage to verify eligibility status for different procedures is essential to providing accurate billing. For instance, if insurance covers the cost of a procedure, but a patient’s insurance isn't updated in the medical office’s billing system, medical billing errors occur.
Each medical practice needs a highly trained billing staff to manage and update data. The practice also needs a system that effortlessly organizes all patient information for fewer miscalculations.
American Business Systems offers more than 2,000 marketing tools and live one-on-one training for each medical billing team member. Video training and virtual workshops also promote a highly functioning billing system with fewer medical billing errors.
Whether looking to start a medical practice or get an existing practice on the right track, a provider wants each patient to experience an effortless billing cycle. For tools to help and to learn more about why some people fail in medical billing, count on American Business Systems. Call 866-565-8413 today!
