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Common Medical Billing Errors

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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. – PowerPoint PPT presentation

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Title: Common Medical Billing Errors


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Common Medical Billing Errors
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 its 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 Duplicate Charges 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.
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Common Medical Billing Errors
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. Upcoding A hospital
could expand a patients 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 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.
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Common Medical Billing Errors
Wrong Quantity 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. Talk
to our medical billing experts to avoid the most
common medical billing errors and collect all
reimbursement that you deserve for your service
in your first claim submission.   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.
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