How Medical Billing Services Companies Prevent Claim Denials

View Our Medical Billing (RCM) Solutions

Most losses that medical service providers suffer is in payment denial due to factors such as unverified or terminated health insurance policies, non-identification of a patient, wrong database inputs, lack of payment credentials, duplicates and invalid medical codes. Mistakes such as these can severely affect a medical provider’s finance, which is why it’s very important that you have accurate, reliable medical billing services – whether you’re a large or medium medical services provider or an independent one.

When you work with an accredited and competent medical billing services company, you’ll be able to hash out each problem which leads to payment denials by performing effective medical billing procedures along with a set of smart skills, backed by years and years of experience.

Experienced and dedicated medical billing services companies can prevent denial by:

Backing Up Electronic Health Records

A medical billing service company will always keep a backup server, hosting millions of patients’ records and safeguard that data at all costs. As everything in the medical industry is automated, state-of-the-art software and highly secure servers are utilized in order to comply with the HIPAA (Health Insurance Portability and Accountability Act, along with other standards mandated by the government.

Sorting And Verifying Individual Information

Medical billing companies work alongside medical provider staff in order to train and assist them in administrative tasks such as processing documents with billing codes and registering patients. The company also makes sure to measure the ration of claims against denials, investigating each of them in order to solve problems. The company will regularly communicate with staff in order to properly maintain records and release financial reports.

Keeping Up To Date

Similar to experts in the medical practice, professional medical billing companies will always ensure their medical billing procedures are effective and efficiency, only implementing procedures and measures which are in accordance with industry updates, policy changes, and anything else necessary in order to make sure the billing process is performed correctly.

Doing A Thorough Claim Inspection

A lot more than merely communicating with health care staff, the billing company will address issues with claims by using strategies which appeal to payers such as sending out reminder e-mails, calling for verification etc. Good medical billing companies will also make sure to keep up-to-date information on payers’ policy and authorization.

Daily Denial Management And Deadline Compliance

Denial Reviews are part of a medical billing company’s daily grind – they will closely monitor the ratio of denial, and implement carefully crafted strategies to solve any potential problems. They will also comply with deadlines in tax returns, along with other financial requirements.

Call us or email Progressus Revenue for more information about our medical billing strategies, practice management solutions and ancillary care programs.