You Can Avoid Troubled Billing Claims

By Al Fisters


Many medical billers today that understand ICD-10 are enjoying the new benefits of a raise. Physicians and healthcare providers are seeing that most billers don't do their job correctly because they are not fully trained in this new coding system. We are living in weird times in the medical community for several different reasons. For starters, healthcare as a whole has changed drastically over the last several years. People are often wondering what the new system is going to draw. Many doctors are already leaving their practices and instead working for hospitals. It is scary to leave your practice, but many doctors feel that they have no other choice.

A medical billing audit often happens when an insurance company wants to see your records. They want to understand your business a bit better. They are submitted lots of money to your business and are asking tough questions. A lot of treatment centers got audited in October of 2015. It is mainly due to the fact that the new ICD-10 got released and it allows insurance companies to do it. You may be surprised to find out that medical audits are only the tip of the iceberg. There has to be a lot of insurance carriers in order to do this.

We can easily see our life moving forward with change. The healthcare industry is requiring many billers to go back to school and take courses on it. This will allow them to accurately bill in order to receive proper reimbursement. If you don't know how to bill correctly, you will have to hire someone that does. You may lose up to 30% of your revenue or even more. It is possible that your business will go bankrupt if billing is not handled correctly. Today, billing is a highly complex field that most people are trying to figure out. It is possible to have people asking simple questions such as: why is my practice negative? Why do I have so many issues all of a sudden?

Many doctors are asking themselves if they should keep their own in house billing team or outsource. Many physicians are finding that outsourcing is actually cheaper and easier. They don't have to invest in any new software and hire expensive staff. Many ICD-10 coders are getting paid over $70,000 a year depending on their experience. This is tough because a lot of people wonder what will happen to their business if they cannot turn decent profits. You may have to ask yourself what is most important for you.

In the past, ICD-9 was a different system with less codes. Most people submitted claims accurately and there was hardly any problems with it. The new codes are more sophisticated and take a lot longer to prepare. It is important to spend lots of time with ICD-10. The best way of ensuring accuracy is to tell people about it. Let others know what you are doing. There are many codes that people talk about. Most of them are related to a certain illness.




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