Medical Billing Trends To Watch For In 2023 And Beyond

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Best Medical Billing Practices For Pediatric
Practices  

• The pediatric billing and coding process is one
  of the most important, if underappreciated,
  aspects of the healthcare system. This procedure
  ensures that healthcare providers receive payment
  for the services they provide. However, the
  medical billing for pediatric practices requires
  a high level of accuracy to ensure that claims
  are issued and payments are processed quickly.
• Since all of this must be done in addition to
  dealing with patient calls and other day-to-day
  demands in a busy pediatric office, taking the
  time to implement the best pediatric coding and
  billing practices from the start can greatly
  reduce the risk of confusion or error. Here are
  some pediatric billing and coding best practices
  to help your practice create the most efficient
  system possible and maximize revenue potential

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Before the Visit

• Check Eligibility Proactively
• Checking eligibility allows you to determine the
  patients coverage status prior to the scheduled
  visit and provides you with the data you need to
  be proactive about collections. Use your EHRs
  electronic eligibility feature at least two days
  before the visit to capture any patient insurance
  information that may need to be updated.
• Review Patient Responsibility
• You must ensure that authorizations and referrals
  are approved, entered into the system, and
  associated with the appropriate visit. A denial
  will occur if they are not linked. Furthermore,
  at every visit, you should ask patients if their
  policy or coverage has changed. Check for
  primary, secondary, and tertiary insurance, and
  inquire about benefit coordination (COB). Keep in
  mind that Medicaid is always the last resort
  payer and should not be used as your primary
  insurance.

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During After the Visit

• Use Charge Rules
• When bundling commonly used code sets, use charge
  rules to avoid National Correct Coding Initiative
  (CCI) edits. Look for covered diagnosis codes by
  the procedure and common CPT codes that
  necessitate pre-authorization.
• Enter Charges Within Two Days Of The Visit Date
• You can avoid both delayed revenue and timely
  filing denials by entering charges on time.
  Before a claim can be adjudicated, it must go
  through several stages.
• Convert your EHR to the Single Source of Truth
• Any rejections that have been corrected in the
  clearinghouse should be reflected in the EHR.
  This means that any changes made at the
  clearinghouse level should be updated in the
  system. This strategy is critical for A/R
  management and denial management.

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• Verify Status Reports
• Review clearinghouse status reports daily to
  reconcile claim batches. If a claim is not
  included in the payer status report, it must be
  reviewed for missing or incorrect information and
  resubmitted. Daily claim batch reconciliation is
  a critical but often overlooked component of
  the pediatric billing workflow.
• How Can 24/7
  Medical Billing Services Assist You?
• Changing payer fee schedules, government
  regulations, a lack of training and resources,
  and high-deductible health plans may all be
  factors causing your pediatric practice to earn
  less than it should.
• You can also collaborate with revenue cycle
  management experts of 24/7 Medical Billing
  Services to increase your pediatric practice
  profitability. Book your free consultation right
  today by calling 1 888-502-0537.

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About 247 Medical Billing services
24/7 Medical Billing Services is the nations
leading medical billing service provider catering
services to more than 43 specialties across the
entire 50 states. You can rely on us for
end-to-end revenue cycle management. We guarantee
up to 10-20 increase in the revenue with cost
reduction of your practice for up to 50. Call
us today at 888-502-0537 to know more on how we
can help boost profitability for your practice.
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Call us Today
Media Contact 24/7 Medical Billing
Services, 28405 Osborn Road, Cleveland, OH,
44140 Tel [phone] Email
info_at_247medicalbillingservices.com Website
https//www.247medicalbillingservices.com/
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