Taurus-Partners offer of Outsourcing Medical Billing, Medical Coding solutions for healthcare industry. We have a team of certified medical professionals to deliver work with high quality.
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Medical billing and Coding Errors To Avoid
1.
2. Medical care providers are offering the best
cutting-edge care for their patients. Howbeit,
for successfully endowing the medical
practices requires medical billing. In today’s
ergonomic medical industry, business issues
are rising that are concerned with the medical
billing & coding.
3. Upcoding: This happens when billing codes are
changed to symbolize more severe treatment or
diagnosis. This causes medical bills to inflate.
Upcoding happens when patient treatments are
coded for a name-brand medication or a regular
visit to the doctor is coded as inpatient care.
Unbundling: It occurs when medical charges that
can be bundled jointly are listed separately. This
makes the medical bill to increase as every
treatment is billed separately. Examples are when
medical tests should be treated under same code
are billed individually.
4. Balance billing: It occurs for the leftover
‘balance’ after insurance companies settled the
medical bills with the hospital or care provider.
Care should be taken whether all the hospital
charges are covered under the policy or not.
Duplicate billing: It occurs due to services or
procedures billed multiple times. The most
common example is when doctors & associate
staff bills for the same service or procedure for
a couple of times.
5. Lack of medical requirements: If the hospital
or care provider is not able to offer coder with
information about the diagnosis, then wrong
codes may lead to higher medical bills.
Differing treatment codes: If medical coder
upcodes the diagnosis and leaving treatment
codes, the insurance company will reject the
claim due to mismatch between treatment &
diagnosis codes. Especial care should be taken
while coding for both diagnoses & treatments.
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