Posted on March 29, 2021 By Admin

5 Tips to Maximize Medical Billing Collections

Medical billing collections are one of the greatest challenges faced by the medical billing staff, the first and foremost reason being the presence of third party payers between the patients and healthcare provider. Importance of timely collections lies in the fact that a medical practice can just not stay operational let alone successful unless it earns a profit and generates revenue.

Avernus medical billing shares their 5 most viable tips to ensure the growth of the medical facility by maximizing their medical billing collections.

Communication with patients

Equip your billing staff with the knowledge of standard procedures for all kinds of billing situations for effective communication with the patients. Staff at the front desk that has to deal directly with the patients should be well-trained in dealing with all kinds of billing scenarios. Besides collecting complete patient information, verifying insurance eligibility and collecting the patient portion is the initial yet most crucial step leading to successful collections. The front desk staff needs to be respectful yet firm in their approach towards payment issues. The front staff must communicate pending dues and payment options to the patients upon confirmation of the appointment. Giving an estimate at the time of service encourages most patients to make timely payment of the partial amount.

Communication with insurance carriers

Open channels of communication with patients' insurance carriers should be maintained for effective conflict resolution. While communicating with the insurance carrier, your medical billing staff must be well-informed and prepared to answer all the relevant questions. Conversation with the insurance representatives should either be consensually recorded or notes should be taken. Clarity and conciseness are the best qualities of a good communicator therefore all questions, concerns and expectations should be expressed clearly and concisely. Communication with insurance companies can at times be tedious and the staff must be patient while navigating through automated menus and waiting on hold to reach the right representative. Considerate behavior goes a long way in maintaining long term cordial relations and come in handy during denial management.

Step up the claims submission process

Some pragmatic ways to employ to step up the claims submission process leading to avoidance of denials and consequently successful collections are efficient information collection process, thorough proofreading before submission to eliminate errors, making the most out of use of technology, staying updated with insurance requirements and analysis of previously occurred claim denials.

Integrate the use of latest technology

Assess the technological advancement and sophistication of security systems and choose the best option. Latest software integrated with Electronic Health Record for optimal use is a must-have in order to guarantee instant and smooth data sharing and reduce errors leading to denials and cut-offs and upsurge the accuracy of claims. In addition to that, state of the art security system for the safeguarding data should be in place that can combat the ever-changing data threats and protect the information of their clients.

Outsource your medical billing process

Outsourcing medical billing and coding frees the medical facility from the hassle of keeping abreast with the ever changing regulations as well as following up with the insurance staff. The outsourced billing staff has up-to-date knowledge regarding the changing CPT codes, current regulations and procedures. Furthermore, they take care of the communication with the medical business, patients and payers leaving your medical facility to focus on treating your patients. Medical billing companies’ work is free of errors as well as time and cost efficient. Outsourcing your medical billing and coding process to a reliable company will help you reduce the rate of denials and increase collections thus generating revenue for your medical business.

In this regard, Avernus Medical Billing, is a worthy choice as this company makes it their responsibility to ensure medical facilities get paid for their hard work.

Having trouble with collections? Call us at +1 817-989-6949 or send us a mail at info@avernuscorp.com and we will be delighted to take your business to new heights.