Tag Archives: medicine

Finance

How To Handle A Rejected Claim From The Insurance Company

Just when you thought medical billing couldn’t get any more complicated, the new ICD-10 codes came out on October 1, 2015. The codes are a lot more complex than ICD-9. A lot of doctors are scratching their heads over it and asking themselves how they are going to get paid. A lot of doctors’ offices are seeing audits by the insurance companies and a constant rejection of the claims that they are submitting to them. Doctors are often asking themselves, what gives?

The problem is not as bad as many people think it is. The reason for the slowdown of payments all has to do with understanding the ICD-10 requirements. It asks for more information such as how your patients are improving in their treatments with you. Insurance companies want to know why they should be paying you to begin with. Today, you need to have a good certified ICD-10 coder working for you. If you can’t find one, then outsource your billing to a company that handles this. It is a wise choice if you are trying to earn more money for your practice. Doctors today are often only seeing 70% of their claims submitted to the insurance companies. Many insurance companies today are sending you a check for 50% less than you asked for. It is a tough time for doctors and anyone working in the healthcare industry.

When your patient gives you their insurance card, are you purposely making them do extra tests so that you can make money off of them? Insurance companies are asking these questions and many more. The new way of medical billing in 2016 and beyond is to document everything. Be honest with yourself and your patients. If your patient is in shape and has normal blood work, do you really need to send them to the lab again a second time in the same week? As crazy as it sounds, some doctors do. This has gotten the entire industry in rough shape now. Many insurance companies have stopped working in certain states because they felt that there was too much fraud going on.

The new ICD-10 codes are already showing hard times for doctors. Doctors are seeing their payments being slow from insurance companies. They are often see far less reimbursement from the claims that they are submitting. This is a problem since doctors rely on insurance companies to pay their salary. Most patients cannot afford to write their doctor a check for $200.00 or more dollars every time that they visit them. If the insurance company is not paying for the treatment, then who is?

Medical billers today should understand a lot about anatomy and how conditions are treated. In order to send in a correct claim to the insurance company, the biller must know how to do it correctly. Document what had to be done in detail. Today, the more detail that you give the insurance company the better. You will often see a higher return on your claims in the end. It requires much more work. However, this is why you need someone to do this full time for you. Forget ICD-9. It is a thing of the past. Instead, focus your attention on what needs to be done.

We are a professional medical billing and coding company in the Florida. Our clients depend on us for facility billing services and other types of billing. We offer products such as verification of benefits and utilization management.

Finance

Medical Billing Clients That Are Happy With The Services You Give To Them

Men and women that own medical billing businesses will tell you that it’s hard to get a good client these days. There are thousands of medical billing companies promising you high returns on your relationship with them. Is it true? In order to gain a customer that loves your work, you are going to have to prove yourself to them. Proving yourself means that you have many customers that say good things about you.

For starters, always be honest with your customers. Tell them how much money they are going to be charged for working with you. If you charge 9%, then don’t tell a client that you are charging 5%. Honesty is always the best policy. If you want to land a client for life, it is important to talk to the people that can get you ahead. Make friends with doctors and healthcare providers so that you can do business together.

If you are already established and ready to go to the next level, then you will by providing good services. You can gain more customers from the internet and also from someone that recommends their friend. Word of mouth customers is often the best type of customer to get. They don’t cost you any amount of money and they often want to work with you because of the positive things that someone said. These customers often are excited to speak with you because they want the same results as their friends have gotten. They are often easy to convince to sign a contract with your business.

Customers are built on good reputation. If someone calls you from the internet, it is best to meet with them in person. This is mainly because people want to know who they are talking to on the phone. Having a personal one on one connection with a biller is like striking it rich to a customer. This is mainly because they are calling around asking for quotes.

Customers will often compare how much money they are spending with you. They will often call around to see if someone can give them a better rate than what you are giving them. Make sure that you are not overcharging your clients. If you do, then they will often find a service that is cheaper than yours. There is nothing worse than losing a client to a competitor that is offering them something cheaper. It is important that you call other medical billing companies to see how much they are charging for a similar service to yours. If you believe that you have the best prices, then you may not have to change anything.

Our business provides healthcare billing services to clients in the United States of America. We have an electronic medical billing service that is special. We work with hospitals and rehabilitation centers of all sizes. The other services that we offer are revenue cycle management and utilization care.