Skip to main content

Common Errors in Medical Billing -Avontix

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

Post a Comment

Popular posts from this blog

That’s Hilarious! Funny Must-Read Medical Transcription Errors!

Doctors every now and then come across some very critical bloopers from medical transcriptionists. Some of these can be downright funny! It’s common for transcription errors to creep in for various reasons like the dictation might not be clear, too many medical terms stuffed in, or misunderstanding at the transcriptionist’s end. Medical transcriptionists vary in experience and skill and may not be well versed with some medical terms. Here is a compilation of some very funny transcription mistakes you could note to avoid being on the receiving end of the laughter! 

   ·"Eyes and nose continue to be within normal limits" (I & O).    ·"History of sick as hell disease" (sickle cell)    ·"She was a bitch and grinned" (a bit chagrined).    ·"The last day the patient took their meds was for beaver."  (forever).    ·“49 year old occasional male”(Caucasian male).    ·“Borderline respectable pancreatic cancer”. (Resectable).    ·“Patient is alert and orien…

Healthcare Documentation – A Promising Career Option -Avontix

Picture courtesy:
With ever-changing legal and medical requirements, it is mandatory that all the procedures and processes performed by healthcare practitioners are recorded accurately not just for evidential purposes but for future references also. However, it is not possible for the physicians, nurses, and other healthcare professionals to keep documenting each and every process performed by them in a written format. Hence, physicians take advantage of the technological advancements and record the procedures performed by them in audio files using an electronic device. Although these can serve as records, it is not easy to comprehend a physician’s voice file when the information is required. So, these voice files are transcribed into electronic documents and this process of transcribing is called medical transcription or healthcare documentation.  
The voice files given by the physicians for healthcare documentation include their office visits, emergency room …

Habits that Get You Like-minded Friends -Avontix

We are social beings and need relationships to get along in life. Friendship is one relationship that doesn’t need any reason but it bonds people irrespective of their age, gender, and profession. Friendships are good as they can enrich your life and improve your health. Anything that is good for life doesn’t come easy, and this is true with friends as well. If you have a good number of friends to share your highs and lows, you probably have a lower risk of psychological illnesses and resultant diseases. What if you don’t have friends? Simple! Make friends; it’s as simple as that. Here, we share with you few habits that help in making friends.

Inculcate Positive Attitude: Feeling positive is important for any kind of relationship and it is so with friends as well. People don’t like to hang around with those filled with negativity and keep a distance from such people. So, be positive and hang out with people who are positive. Speaking positively about others gives an indication that yo…