Medical Billing: Common Errors and How to Address Them

In the past, whenever medical billing was mentioned, a pile of paperwork would immediately come to mind. Companies faced numerous challenges in their medical billing processes including processing claim forms, where errors were abundant. With an increasing amount of transactions to be handled, it is highly likely for errors to happen, which is why preventive and corrective measures must be in place to ensure client satisfaction.

Errors are usually caused by illegible billings and transactions exchanged between physicians and their outsourcing partners. This can be easily resolved by using a systematic and coordinated way. One suggestion is for physicians and healthcare institutions to use a system that will enable them to easily understand the type of procedure or service done.

Also, in filing the procedures and services rendered, there may be some minor medical procedures that are overlooked and therefore, would not be included in the bill. In this particular error, it is possible to lose a certain amount of money if not acted upon immediately.

Another aspect of the medical billing procedure where errors are likely to occur and may affect the influx of revenue is the filing of the charges for the claims. Wrong processing of medical bills or a mismatch of amounts charged to a patient and the amount an insurance company allows for a certain procedure will surely result to a delay in the reimbursement.

Another area that companies can look into is acquiring software that would enable their employees to focus more on their assigned tasks; software that can automate smaller tasks and help in decreasing errors is a good investment, although it may be admittedly a costly investment as well.

There are quite a number of other problems that may be encountered in the handling of medical billing transactions but while there are many, these errors may be lessened, as long as there is an efficient quality assurance method in place.

Quality assurance procedures could be the most important aspect in the process, as the quality of work serves as leverage for them to keep their clients. In medical billing, it is important for an institution to have a detail-oriented QA team to review all data that has been submitted by their medical billing professionals.

Aside from the QA team, an experienced and skilled team is also important. In the event that hiring experienced medical billers become harder to find or become more costly, it would be more beneficial for a company to invest in their current employees. This includes providing sufficient training, and equipment that would improve their skills and allow them to keep up to date on current practices and procedures.

The outsourcing of medical billing is another method that would help healthcare institutions to minimize billing errors.  With more and more companies realizing the benefits of outsourcing their medical billing, demand for medical billers has risen significantly.  Outsourcing allows healthcare institutions apply the tips above and often times at a cost lower than what it normally costs when kept in house.

In medical billing, as with any healthcare related process, it is a process that requires a high percentage of accuracy, after all, everyone requires healthcare. Therefore, for many in the healthcare field, it is important to make investments or utilize processes that may be beneficial but also costly that would ultimately give them access to this. Addressing common errors in the medical billing process is one step in the right direction.

About Infinit-O
A provider of medical billing outsourcing solutions, Infinit-O’s medical billing services and core team of billers can deliver efficiently and effectively the medical billing outsourcing solutions tailored according to your company’s needs.

Boasting of client satisfaction in terms of accuracy rates and a 24-hour turn-around time, Infinit-O can help healthcare industry players dedicate 100% of their time and attention to their core businesses.

Written by Jeff De Jesus

Jeff De Jesus

With his exposure to the outsourcing industry since 2003, Jeff was able to share and implement his leadership insights with respect to managing business process accounts, particularly in the healthcare department. Jeff has also taken part in assessing the fundamentals of the company’s operational processes, utilizing his experience as an Operations Manager across different verticals, identifying and executing methods that can improve the quality of workflow in the company. Jeff’s experience is not only limited to the Healthcare solutions as his capability in handling Customer Support is also mirrored in the successes that the company has achieved.

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