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Get Top-Notch Billing Coding System Services in Florida!

Looking for reliable billing coding near you in Florida? Agima Medical Management offers tailored solutions to enhance your practice's revenue cycle.

An Emergency Room (ER) handles serious, unexpected, and often too dangerous medical situations requiring immediate action. It is an important part of a healthcare facility and is used regularly. This makes its coding and billing procedures elaborate and prone to countless errors. As a medical professional, you might have realized that looking after your revenues in these circumstances can be a daunting task.

Have you ever felt the need for a professional while dealing with complex insurance claim processes? Is your Emergency Room Billing cycle up to your expectations? Outsourcing the coding and billing processes to experts is the key to efficient Emergency Room Billing.

Is it necessary to outsource the Emergency Room Billing process?

A specialty such as Emergency Room Billing comes with unique challenges such as handling critical treatments, managing cash flows, staffing, billing, boosting efficiency, and coding. When an emergency case arises, the patient is brought directly to the ER and is treated as soon as possible. It has become mandatory for ER physicians to provide immediate emergency care to a patient as per the Federal Law and the Emergency Medical Treatment and Labor Act (EMTALA). In such a situation, the patient is admitted without any or inadequate insurance information, which makes it difficult to bill the services afterward.

Looking after various other procedures while treating the patient is challenging and arduous and can lead to adversities if not handled properly. Any minor error in coding or billing can cause claim denials which critically affects the revenues of your practice. Outsourcing the entire Emergency Room Billing process to professionals who have handled such processes many times over the years can help you get maximum reimbursements and avoid denial of claims.

How can 24/7 Medical Billing Services assist you in boosting your revenues?

When it comes to maximizing reimbursements and reducing claim denials, we specialize in providing Emergency Room Coding and Billing Services to the healthcare industry across the United States. We operate on the latest HIPAA compliance and ICD-10 codes to make your billing process accurate and easier. Our billing experts will assist you in controlling overheads, increasing cash flows, and reducing compliance risks.

Our support team works round the clock to help you sort out issues and doubts you may have regarding our Emergency Room Billing services. Our team is not confined to a specific area of billing and operates and specializes in diverse areas. Our claims are formulated based on treatment reports and the duration of services. From patient enrollment to A/R collection and analysis, 24/7 Medical Billing Services provides you the end-to-end billing services you need to make things easier

Medical billing errors or blunders may sound like simple mistakes but they are reasons for major problems in the healthcare industry. Finding out these mistakes and avoiding them in time is important than ever.

Best of the best medical billing services can make mistakes but only a few have advanced in their practices to avoid and prevent them from happening again and again.

Medical Billing Blunders – Errors

An ideal medical practice needs a steady and reliable revenue stream in order to run it smoothly. Unfortunately, challenges in medical billing and errors in between may affect its success for a long time. Even if you are experiencing delayed payments, denials, customer complaints, or lost productivity; errors in medical billing hamper your practice. Reducing such errors is necessary to your bottom line, so it’s important to think about the most common medical billing errors/blunders and put measures to prevent them from impacting your revenue cycle management.

The real question is, what can a medical practice exactly do to avoid this from happening? What measures should be taken to make sure you create an accurate billing statement?

It’s always to know that you have an expert like 24/7 Medical Billing Services to put a list of common medical billing errors to keep your practice safe even if you are outsourcing medical billing to someone expert.

Incomplete Claim Information

An empty or unchecked box on a claim form can cause a denial. Even the most basic fields like gender, date of birth, and time of the accident or health emergency are usually left blank.

Make sure a second opinion offers a review of every document or electronic claim your office files to ensure the necessary fields are completed. If you are all right with e-claims, verify if your software system flags users to review missing fields and alerts for all required data before allowing them to submit.

Failing to Verify Insurance

Problems with insurance are on the top of the list for most claim denials. Usually, failing to verify stems from an overreliance on routine. If a patient admits to the office frequently, the staff may assume their insurance provider or coverage plan is the same and doesn’t check eligibility.

But since insurance data can be changed at any time, you must follow verification steps into the billing workflow for every single visit. This means checking for all 4 potential reasons is important for insurance related denial:

Coverage terminated or ineligible on date of service.

Services not authorized.

Services not covered by the plan.

Maximum benefits reached.

By implementing steps in your billing workflow that verifies the insurance at every patient visit, you are making sure that there are no policy-related issues that could result in denied claims.

Lack of Specifics

Many times, insurance carriers deny claims for not being coded to the top level of specificity. As a trained coder knows, every diagnosis needs to be coded to the most top-level for that code – meaning the most digits for the code.

If your staff is not particularly familiar with coding, they could keep making such kinds of errors usually without even realizing it. Getting educated is important: teach your billers what truncated codes are so they can fix them before filing.

Miscoding and Typing Errors

Simply, you might just get things wrong. If it’s an unbundled code, a duplicate charge, a typo in the patient name, or an incorrect date, even an accidental, honest mistake can affect an insurance claim. When you heavily focus on medical billing and coding particularly if you have other important tasks, errors are unavoidable. Here are a few of the most common ones to avoid if possible:

Filling wrong information for insurance, patient, or provider (i.e., name, address, date of birth, policy numbers, etc.).

Entering ICD-10-CM codes with digits with no limit.

Not entering codes at all in a given claim.

Submitting incorrect CPT codes.

Missed Filing Deadlines

Some payers mention two years of timely filling windows for standalone medical claims, wherein others may give you 30 days to file. If you miss filing a claim on time, you’re pretty much messed up. Filling denials in time are among the most difficult to appeal.

Eliminate Medical Billing Errors with 24/7 Medical Billing Services

The best way to avoid common errors is to work with well-trained agencies or professionals. One easy option is outsourcing medical billing, which is a proven way to help practices increase revenue by reducing claim denial rates. As an experienced medical billing and coding partner for hundreds of medical practices, 24/7 Medical Billing Services has been helping practices streamline their billing practices.

We have worked with various practices and EHR systems allowing us to put the best systems intact to help your office.

Learn more about how our billing experts work with your staff to reduce errors and boost your insurance reimbursements, get in touch with our team for a free consultation.

The practice of outsourcing medical billing can help healthcare organizations and private practices reduce operational costs. Moreover, it helps practices focus more on patient care.

When one of our clients based out of Ohio realized that cash receipts were not keeping track with the service offerings by the practice physicians, the clinic decided to search for a more focused billing and collection solution provider.

They needed a solution provider who would allow them to utilize their existing technology but provide enhancements to the billing, collection, and reporting requirements. The managers on the client side agreed their way for a new medical billing service provider and they stated their requirements as:

The company should provide a solution that will suit its existing practice management system.

Complete guidance and consultation to their physicians and internal team on coding and billing practices.

The company should have proven abilities to reduce denials, improve claim rejection, and collection procedures.

Situation

During the primary research stage, the client-side manager helped us investigate multiple potential threats and challenges they were facing. The client stated its challenges as:

Improper dictation

Backlog of outstanding charges

These challenges needed to be handled in time and that’s where 24/7 Medical Billing Services entered the practice and acquired their operations.

We decided to work with the client for charge entry, demographic registration, medical coding, and A/R (accounts receivables) follow-up.

Our Approach

For 4 months we worked closely with the client to spot important issues to solve. 24/7 Medical Billing Services started with improving image resolution to reduce charge entry and demographics errors. We organized medical reports for simplified retrieval and recommended improving dictation reports to smoothen reimbursements. We also deployed a quality control team to validate processed files. Our operations and IT teams worked together as a single team to build a solution to improve accuracy, efficiency, and productivity. We sent daily productivity reports to the client together with regular updates on specific insurance company policies.

Because of 24/7 Medical Billing Services, we were able to process about 7000 CPTs daily with very minimal errors (0.5 to 0.75 percent).

We helped the client increase the number of clean claims and reduce turnaround time. The client understood financial trends better because of data driven reporting provided by the 24/7 Medical Billing Services team.

Conclusion

The client could increase accuracy and decrease turnaround times, everything happened while using less time and resources to manage the relationship. This enabled the client team to spend time on the relationships that truly matter and deliver better care for their patients.

Does your practice need an outsourced team of medical billers and coders?

Medical practices are used to handle their medical billing with an internal team. But, professional agencies now offer billing services that can reduce the hassle of dealing with their own billing. If you are one of those practices looking for a profitable solution for your practice, medical billing outsourcing is the only option you can focus more on patient care.

Reasons to Outsource Your Medical Billing

Lower Costs

Make Fixed Expenses Variable

Get Paid Faster

Take the Stress off Your Employees

Focus on What You Do Best

Greater Consistency

Transparency

Keep Up with Healthcare Changes

Expertise

Credentialing

Payment Reminders

Improved Returns

If you are looking for a strong solution at reasonable costs, get in touch with the team 24/7 Medical Billing and we will be happy to guide you on outsourcing medical billing services.