How to Avoid Common Medical Billing Errors

Recently, ABC News reported on the findings of a group of auditors who were hired by insurance companies to review patient bills. They found that an astounding 90 percent of those bills contained errors that often cause patients unnecessary stress and financial hardship. Here are three ways to avoid making these common medical billing errors.

Double-Check Patient Information

When submitting a claim to the insurance company for medical services rendered, every detail of the patient’s information must be entered correctly. If even one digit is off from the individual’s social security number or insurance ID number, the claim will be denied. It may take an extra minute or two, but reviewing what you’ve entered into the computer can save you a headache in the long run.

Verify the Insurance

Whether the patient is a new or returning client, you need to verify the insurance and get a physical copy of the patient’s insurance card. Always check the effective date and coverage period first, then verify any deductibles or copayments due at the time of service. If there are any questions as to the validity of the insurance, call the company directly to confirm before submitting any claim.

Review Diagnosis and Procedure Codes

Invalid or incorrect codes are billing errors that result in claim denials or incorrect patient charges for services. It is easy to mis-enter information here, so it may be helpful to have another staff member review each code to ensure it is correct before continuing.

Other issues, such as sloppy documentation, annual code changes, and duplicate billing can also lead to errors. The best way to avoid these mistakes is to be thorough and take your time when double-checking the information. This type of review should also be used when prescribing the use of mobile cardiac monitors to determine a patient’s heart health. Call ReactDx at 800-234-3278 to learn more about this piece of equipment, or read our News & Updates page to keep up-to-date on the latest studies.  

Jodi is a seasoned Human Resources professional who thrives on change and transformation. She fell in love with Human Resources when she attended Penn State University for graduate school in Public Administration with a curriculum that emphasized Human Resources. After earning her Master’s degree she began her career in the manufacturing industry in Talent Acquisition and was eventually assigned the overall HR Management responsibility of three divisions which included collective bargaining. Ultimately, she made her way to transitioning a new division of a Fortune 100 company under the corporate model as well as developing and executing Human Resources policies and procedures across a broad range of functional disciplines. At the next juncture of her career, she was tapped on the shoulder by former Executives that she previously worked with to join in on an exciting start-up. Today, Jodi is the Vice President of Talent Relations and Development for Medicomp Inc dba ReactDx and is responsible for managing the strategic Human Resources function which includes mergers and acquisitions for this rapidly expanding company.

Jodi and her husband enjoy landscaping, finding new restaurants and traveling whenever life gives them the opportunity.

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