There are few things in life you cannot change, but then if you are practicing as an Urologist one thing that you can definitely alter is the in-house billing and coding department. Yes, outsourcing is the name of the game, and in such if you are getting precise billing services from an offshore entity, than why not use them?
There are couple of things more disappointing than giving care to a patient, which is expecting reasonable payment in return of your services, and then getting informed that your Urology billing and coding claim is being denied in light of the fact that the payer doesn't think the administration was therapeutically necessary.
You've guaranteed your RCM process is up to speed, or so you think. However, despite everything you're confronted with a decent rate of denied insurance claims. What's more, it's starting to influence your bottom line in light of the fact that your practice reimbursement is taking a hit. So, what's going on?
While there are a lot of reasons a payer may deny your claim, the most well-known billing errors are likewise the least complex and simplest to revise. Did you know most of the claims denial reasons still relate to one of the simplest thing, which is patient registration?
Here are the top three errors and the solution to address them:
The doctors and their office administrators have a tendency to overlook that it's not about what the billing office is doing well or doing it entirely wrong. It might be related to the first line of interaction at the front office desk. A little concentration on the front end of Revenue cycle management has a major effect on the final product of the practice. To eliminate these minute errors urologist should always source for outsourced billing and coding agency for an amplified end result.
Lessening your number of denied claims in urology billing practice likewise requires the extraordinary ability of confirmed coders giving attention to every minute detail, demanding precision, quality control, legitimate consistence, years of industry experience and an in-depth understanding of Urology medical billing and coding nuances.