Leave no ambiguities in collection process

Starting at the beginning of the process, having clarity and transparency in communication with the patients as well as the payers is the first step where one eliminates as many chances of ambiguities leading to errors and consequently denials as possible. In this regard, information about the healthcare facility’s payments system should be readily available upfront so that patients cannot claim ignorance towards the policy or pricing estimates. Follow-up of the inquiries of all parties involved should be a topmost priority because recovering overdue payments and pending claims as well as minimizing the time on outstanding accounts can all be catered to with the help of an efficient collection and follow-up procedure.

Maintain patients’ files in a timely manner

Accuracy in claims cannot be achieved without precision in patients’ current insurance details. Billing information as well as a copy of patients’ insurance card and photo ID should be obtained and verified without any delay. Use of technology at this stage can help avoid a lot of basic discrepancies. Moreover, data will be in a lot less danger of getting damaged or lost. Patients can be given tablets to fill in their information instead of stacks of questionnaires for ease of use. Insurance verification shouldn’t be taken lightly in order to improve the claims process as they’re frequently updated or revised. Time limit set by the payer should be complied with while filing a claim to avoid denials and facilitate timely collections.

Make optimal use of automation

The staff should be well acquainted with the software, which should ideally be fully integrated with the rest of the company’s technology, in order to avoid unwanted denials and slower payments. Most of the monotonous functions should be automated as opposed to going about things in the traditional, manual manner. Filing individual claims, selecting suitable codes, generating and issuing payment reminders etc. are examples of tasks that can easily be carried out with the help of automated tools in order to save time and energy of staff. Streamlining claims’ process will enhance the billing productivity by a massive margin and help maintain a steady flow of revenue for the business.

Analyze previous denials

True success isn’t synonymous with not failing but learning from one’s errors in order to avoid recurrence. Scrutinize the denials to get an idea of the errors. The reasons can range from error in coding to non-coverage and lack of a required document to the physician not being credentialed properly. Identifying the areas for improvement will ameliorate the claims process.

Have remarkable problem solving skills

The point when a correctly coded claim gets denied is where a medical billing company can make itself indispensible for the medical practice. A medical billing and coding representative with exceptional problem solving skills combined with expertise in the field of billing, will navigate the arbitration process with the insurance company with ease and challenge a claim that has been denied, thus negotiating reasonable reductions.

This was a glimpse of the few strategies that we employ at Avernus Medical Billing to improve the claims process of healthcare facilities that have hired our billing and coding services.

As a medical billing and coding company working towards organizing, managing and maintaining your billed services and accounts receivables in an effective manner, we will not only help your healthcare facility increase the rate of your claims but will be your greatest aide in financial growth and success in the industry.

Wouldn’t you want to hire our expert service to ensure that your work is billed and charged, minimizing the risk of losing income and federal non-compliance?

Call us at at +1 817-989-6949 or send us a mail at info@avernuscorp.com and we will be eager to serve you.