The Top 10 Billing Mistakes a Medical Practice Makes
- Failure to verify the patient’s insurance eligibility and demographic information prior to, or at time of service.
- Failure to collect the proper copays and deductibles at time of service.
- Incorrect charge posting, including wrong diagnosis, lack of proper modifiers, etc.
- Failure to have appropriate systems or technology in place to ensure all patient encounters are billed properly.
- Lack of timeliness in posting charges or payments.
- Failure to edit claims before daily submission to payors.
- Current payor fee schedules not loaded properly into billing system, so system and staff can immediately identify underpayments.
- Not properly handling denied or improperly paid claims, the first time.
- Lack of timely follow up on Accounts Receivable, including the tracking of all denied claims.
- Not monitoring the performance of your billing department against key benchmarks such as collections %, days in A/R, % of A/R over 90 days.
Back to Main Page
