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Common Errors in Medical Billing



In the US healthcare industry, medical billing plays a crucial role in providing the reimbursements for the services provided by healthcare providers. The reimbursements from insurance players are the lifeblood for the healthcare providers and any rejections and denials of insurance claims prove to be dangerous to sustain in the business of healthcare. Medical billing errors which are often common and result due to typographical or data entry errors lead to significant wastage of time and delays in payments from insurers. Here are some common errors that can be avoided with little caution from professionals in medical billing jobs.

Patient details: Enough care should be taken right from the initial stages to enter the correct details of the patient in the records. The insurance identification number should be quoted accurately in order to avoid any claim denials. A wrong patient ID number can result in denials and it will take plenty of time to identify the error and rectify it at later stages.

Transposing digits: Along with the insurance ID number, there would be other numerical data that has to be provided accurately in prescribed formats to receive appropriate payments for the claims. Caution should be exercised to avoid any errors occurring due to transposing of digits while entering ID numbers, date of birth etc. 

Claims sent wrongly: When there are multiple players in the insurance field, it is common that people in medical billing jobs often tend to submit claims to the wrong insurance company. The best way to mitigate this sort of error is to keep a copy of the insurance card in your records and verify the card and double check if you are selecting the appropriate insurance company to submit the claim.

Using wrong codes: It’s a known fact that both the diagnosis and procedure codes get updated every year. Hence, to avoid errors of using wrong or invalid codes for services provided, the medical billers have to refer to the latest versions of the coding books and upgrade their coding knowledge on a regular basis. It is important that enough care is taken to link the diagnosis code with the procedure code appropriately and accurately. If there is any mismatch in the linking of diagnosis and procedure codes, claims may get rejected or denied citing the wrong code linkage. The onus is on the medical billers to gain expertise in the codes that are billed regularly and link the diagnosis and procedure codes correctly.

Duplicate charges: Care should be taken while preparing the bill so that services provided are not charged in duplication. No service or procedure should be billed more than once.

Unbundling of charges: A little bit of prudence will help in mitigating committing errors related to unbundling of charges. Charges that can be put under one category in one procedure code should be billed that way only. They should not be billed separately under various codes.

By being vigilant not to commit these errors, an amazing career can be established in medical billing in Hyderabad, with Avontix. Avontix is one of the best medical billing companies in Hyderabad that provides ample scope for growth to its employees.

Visit: Avontix

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