Family Practice Billing Without the Pain of denials and Rejection

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Family Practice Billing Without the Pain of
denials and Rejection
The Truth about Denied or Rejected Claims in
Family Practice Billing You might think a
single denied claim is just a minor setback for
your family practice billing. However, the
overall impact can be much bigger than you can
imagine. 
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Family Practice Billing Without the Pain of
denials and Rejection

• Did you know that almost 20 of all claims are
  denied, and up to 60 of returned claims are
  never resubmitted? The financial impact is
  significantwith the cost to rework a denied
  claim averaging 25 per claim for practices and
  181 per claim for hospitals. (Source JOURNAL of
  AHIMA)
• Denied or rejected claims in family practice
  billing disturb cash flow and patient care. Worry
  not! This article will help you streamline your
  family practice billing with straightforward
  strategies and boost your revenue.
• Understanding Claim Denials vs. Rejections in
  Family Practice Billing
• Knowing the difference between denied
  and rejected claims is crucial for efficient
  family practice billing. Denied claims have been
  processed by the insurer but considered unpayable
  due to errors like
• Provider credentialing issues
• Non-covered services
• Medical necessity not established
• Missing referrals or provider data
• Incorrect patient information

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Family Practice Billing Without the Pain of
denials and Rejection

• These denied claims require detailed follow-up to
  correct and resubmit. Rejected claims, on the
  other hand, contain errors detected before
  processing, such as
• Coding errors
• Mismatched procedure and ICD-10 codes
• Incorrect patient information
• These errors can be corrected and resubmitted
  more easily.
• 10 Expert Tips for Reducing Claim Denials
  Rejection
• Reducing claim denials and rejections is crucial
  for maintaining a healthy revenue stream in your
  family practice. Here are some effective
  strategies to minimize these issues
• Ensure Accurate Patient Information
• Verify patient details at every visit to ensure
  correct names, addresses, and insurance
  information. Even minor errors can lead to claim
  rejections.

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Family Practice Billing Without the Pain of
denials and Rejection

• Stay Up-to-Date with Insurance Policies
• Stay updated with the insurance policies and
  coverage details for your patients. Knowing what
  services are covered under different plans can
  prevent denials due to non-covered services.
• Verify Eligibility and Benefits
• Always verify the patients eligibility and
  benefits with their insurance carrier before
  providing services. This step helps identify
  coverage limitations and reduces the risk of
  claim denials.
• Educate and Train Staff
• Invest in regular training for your billing and
  administrative staff. They should know the latest
  coding changes, insurance guidelines, and common
  reasons for claim denials.
• Use Correct Coding Practices
• Ensure that all procedures and diagnoses are
  coded accurately. Use the most current
  ICD-10, CPT, and HCPCS codes to avoid coding
  errors that lead to claim rejections and denials.
• Conduct Regular Chart Audits
• Perform routine patient charts and billing
  records audits to identify and correct errors
  before claims are

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Family Practice Billing Without the Pain of
denials and Rejection

• submitted. This proactive approach can
  significantly reduce the number of rejected
  claims.
• Implement Pre-Submission Claims Scrubbing
• Use automated claims scrubbing tools that review
  claims for errors before submission. These tools
  can identify issues like coding mismatches,
  incomplete information, and eligibility problems.
• Follow Up on Claims Promptly
• Establish a system for monitoring and following
  up on claims. Prompt follow-up on denied claims
  can ensure that they are corrected and
  resubmitted quickly, reducing the time to
  payment.
• Maintain Clear Documentation
• Accurate and thorough documentation is essential.
  Ensure that all patient visits, procedures, and
  diagnoses are well-documented to support the
  claims submitted.
• Outsource Family Practice Billing and Coding
  Services
• Consider outsourcing your billing and coding
  operations to a professional service like MBC).
  Professional billers can help ensure that claims
  are accurately coded and submittedreducing the
  likelihood of errors and

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Family Practice Billing Without the Pain of
denials and Rejection

• How MBC Can Help Streamline Family Practice
  Billing
• MBC specialize in streamlining the billing
  process for family practices. Heres how MBC can
  benefit your practice
• Cost Savings Achieve visible cost savings
  through our professional family practice billing
  and coding services.
• Revenue Boost Experience a substantial 10-15
  growth in revenue with our expertise.
• Streamlined Claims Ensure clean claims
  submission, maximizing revenue generation.
• Advanced Tools Leverage our AI-based solutions
  and advanced billing software for efficient RCM.
• Compliance Assurance Stay updated with industry
  regulations and coding guidelines to maintain
  compliance.
• Ready to Enhance Your Family Practice Revenue?
• Contact MBC today for family practice billing and
  coding services and experience a visible revenue
  boost in your practice. Call us at 888-357-3226
  or email us at info_at_medicalbillersandcoders.com.

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Family Practice Billing Without the Pain of
denials and Rejection
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Family Practice Billing Without the Pain of
denials and Rejection
FAQs Q What are the benefits of using
technology in family practice billing? A Using
electronic health records (EHRs), online patient
portals, and mobile apps can improve family
practice billing efficiency, reduce errors, and
enhance patient engagement. Q Why should family
practice physicians consider outsourcing billing
and coding services? A Outsourcing family
practice billing services can improve accuracy,
prompt claim submission, reimbursement rates. It
allows physicians to focus on patient care while
experts handle the complex billing processes. Q
What are the trusted sources for family practice
billing guidelines? A Trusted sources for family
practice billing guidelines include the AAFP,
the CMS, the AMA, and the AHIMA.