Medical Billing mistakes are routine and can be very expensive if not detected. According to medical professionals, up to 80 percent of all Medical Bills contain erroneous information, and recent estimates by Kaiser Health News show that approximately $68 billion in potential health care revenues are lost because of sloppy Medical Billing each year. Here at A1A Medical Billing we see lots of Medical Billing mistakes that routinely go undetected by the doctor's in-house billing staff. What sort of common Medical Billing errors should you be searching for? - Use of outdated ICD-9 and CPT codes on the SuperBill - Rejected claim due to duplicate billing - Incorrect patient demographic information (name, social security number, etc.) - Incorrect insurance information (carrier, plan name, patient ID number, etc.) - Incorrect calculation of patient balance (co-pay, deductible, etc.) After you see a patient for an office visit, perform a procedure, or provide any medical service, you will submit an insurance claim form to the patient's insurance company for payment. This submission can be either electronic, or on paper. Paper claims will be processed much slower than electronic submissions, so it is in your best interest to submit as many claims as possible electronically. The insurance company will review the submission, and either pay or deny the claim. Both the patient and the physician will receive an Explanation of Benefits (EOB) from the insurance company, detailing the amount paid, amount to be written off, and patient balance. The physician will also receive an Electronic Remittance Advice (ERA) detailing all payments received from the insurer that day, to assist the doctor's medical billing staff in reconciling all payments received and balances owed. Don't delay reviewing the EOBs and ERAs. If you don't swiftly process your Medical Claim payments and there is a mistake, you could lose your right to appeal the decision, correct the Medical Billing error, and resubmit the claim. The deadline for appealing a claim is typically 45 days. It should be very easy for you to realize how many of the unpaid or underpaid Medical Bills routinely go undetected by a doctor's in-house billing staff. Between answering telephone calls, setting appointments, and addressing routine office responsibilities, the Medical Billing function often gets shortchanged by the office staff. Add to that staff illnesses, vacations, and turnover, and a physician's revenue collection rate can quickly become a major problem. Want to find out more about how A1A Medical Billing can help you improve your bottom line by increasing your collections and reducing your Medical Billing costs? We offer some of the lowest rates for medical billing services in the country, and we frequently save our clients 50% or more over processing their Medical Bills in-house. Visit us at http://www.a1amedicalbilling.com/ A1A Billing & Practice Management is a professional medical billing service located in Miami, Florida that is dedicated to meeting all of the insurance and patient billing needs of your practice. We offer a variety of highly personalized services that can improve your cash flow and lower your medical billing costs by 50% or more. We have plans designed to meet the needs of individual and small group practices, as well as large medical corporations with many providers.
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