Have you had your claims rejected by insurance due to an old or non-specific diagnosis code? Then you understand the importance of getting it right. In medical billing, whether or not your claims get paid can come down to a single line on your superbill. But when dealing with one
Even though the importance of medical billing and coding is frequently viewed as back-office duties that can wait, they ultimately determine the financial stability of a healthcare practice. When your billing functions properly, cash flow remains consistent and predictable. But when billing systems fail, payments are delayed and denials increase.
Does it seem like you’re working more hours on your practice yet not making more money? It may be because you’ve got several “leaks” in your practice.
These leaks are areas in your practice that unknown to you do nothing but consume your revenue. From before the actual patient visit to well after the patient leaves the clinic, medical practices can lose a lot of money because of these leaks. Could your practice be among those plagued by these leaks? Read on to find out and plug those leaks before they pull the plug on your practice.
Before the Patient Visit
Even before the actual patient visit, practices can lose a significant amount of income due to negligence in verifying insurance eligibility, which leads to claim denials and delays. According to the American Medical Association (AMA) 25% of private payer denials are directly caused by patients being ineligible for benefits.
Due to the complexities of medical billing and coding there are several ways in which your practice could be losing money.
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