Medical billing errors are possibly more common than anyone can think, and these errors could be costing you revenue loss. In fact, almost many Americans could be overpaying on their medical billing because of common medical billing errors. Whether it’s incorrect information in CMS1500 like incorrect insurance ID number, or ICD-10 Code error, duplicate charges, etc. errors happen, and these errors can be costly to your practice. Incorrectness with any one of these issues could result in thousands of dollars being improperly added to your final bill or a complete denial of charges by your health insurance plan.
Common Billing Errors
Here is the list of some common medical billing errors:
Your biller has to check for duplicate charges to make sure your patient billed twice for a single service or procedure.
Wrong Patient Information
Basic errors such as spelling mistakes in name or wrong insurance policy numbers are common in claims. In case of any such small errors can lead to claims denials and it will impact your practice growth.
Canceled Tests or Procedures
If your biller is filing a claim with a test or procedure that ended up being canceled then your claim will be denied. Your staff or outsourced billing company should review all claims before sending them to the insurance company. You should provide all related documents to concerned teams to identify what services carried out.
A hospital could expand a patient’s diagnosis to one that represents a more serious procedure and can lead to a high medical bill. As an example, if patients have used less emergency room service but are billed at a high level. This is illegal in any medical practice, and patients can ask you to correct the charges according to the service provided by you. Your team always needs to keep an eye open on such issues so that upcoding errors should not happen.
Unbundling of charges refers to the separation of charges that should have been billed under the same procedure code. Such mistakes can be tricky to recognize unless you have a certified medical coder on your team. Your team should always keep themselves updated with the latest updates of the National Correct Coding Initiative Announcements.
Operating Room Time
If your patients underwent surgery, then check medical records to see how long patients were in the operation room or under anesthesia. Because patients are normally billed in 15-minutes increments in such instances, so errors can add up quickly.
Always ensure that your patients are not charged extra for the wrong quantity of items or medications. These mistakes can be as simple as an extra zero placed at the end of a number by your medical billing department.
About Medical Billers and Coders
We are catering to more than 40 specialties, Medical Billers and Coders (MBC) is proficient in handling services that range from revenue cycle management to ICD-10 testing solutions. The main goal of our organization is to assist physicians looking for billers and coders.