The Most Popular Medical Billing and Coding Errors and How to Prevent Them
Lost fees in a healthcare facility can mean a huge drain on the facility. Such errors do happen and they are mostly connected to data entry or typos. Medical billers therefore have their work cut out for them because they have to keep such mistakes at a minimum. Effective communication also comes in handy because it allows billers an opportunity to correct the mistakes before they happen. Here are some of the most popular medical billing and coding errors and how to prevent them.
The first one is incorrect procedure codes. Different procedures are denoted under different codes and this means that just one entry of the wrong code will mean a different procedure has been performed. It can also be that the documentation has been incorrectly coded even before it gets to the medical billers. It will be very clear that there must be a coding issue if the claims keep coming back when codes are incorrectly input. How do you prevent this? Constantly train the staff on coding to ensure that there is an awareness of accurate coding for fewer mistakes. Learn more about medical billing, go here https://medusarcm.com/blog/most-common-medical-billing-coding-errors-know-them-so-you-can-prevent-them/
Mishandled overpayment is yet another medical billing error. Here, claims fail to process correctly too when payers have paid in either too little or too much. Such claims should be rectified instantly and the interest payments processed correctly. If the payer doesn’t follow the right procedure which causes the failure, the provider should be notified immediately.
What about missing information? Dealing with incomplete or incorrect information is one of the major reasons why claims are denied. It causes delay and more often than not, it ends with a denied claim. To solve this, the medical billers ought to ensure that every field has been filled as expected and where there’s a mismatch, it should be addressed instantly. Find out for further details right here https://medusarcm.com/blog/advantages-disadvantages-of-using-a-revenue-cycle-management-service/
Invalid codes are yet another medical billing issue. If the yearly update deletes the commonly used codes, then diagnosis and procedures may pick incorrect codes. If this invalid code goes all the way, then the claim will definitely be denied. To prevent this, ensure that there is a list of updated procedure and diagnosis codes before claims are made. The medical billers should check and recheck the listed codes for the current billing year. Take a look at this link https://en.wikipedia.org/wiki/Medical_billing
for more information.
Something else that is common in this area is healthcare tech errors. The billing process needs to be clear and concise for the medical billers to ensure that patients receive quality care.