A professional medical billing company has the expertise needed to help physicians’ practices avoid billing errors to optimize revenue collection.

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Avoid Medical Billing Errors with
Medical Billing Outsourcing
A professional medical billing company has the expertise needed to help
physicians’ practices avoid billing errors to optimize revenue collection.

2. www.outsourcestrategies.com Phone: 1-800-670-2809
Proper payment collection is the foundation of any successful business, including health
care. Medical billing errors lead to significant revenue leakage and reflect inefficient
processes. Outsourcing medical billing to the right service provider helps physicians’
practices prevent billing errors to optimize their revenue collection and bottom line. Let’s
look at the common billing mistakes that a professional medical billing company helps
physicians avoid.
Common Medical Billing Errors
 Incorrect patient information: Claims can get rejected/returned due to wrong
patient information relating to: gender, name, DOB, insurance ID number, etc. The
claim will have to be resubmitted with the correct information.
 Transposing digits: Switching the position of two adjacent digits is a common data
entry error. For example, transposition errors can occur when entering a patient’s
date of birth and will result in claim denials and delays in payment.
 Incorrect coding: Bills submitted with the wrong or invalid diagnostic and
procedure codes will get rejected. ICD-10 has brought about many changes and
most procedure codes are updated annually. Coding errors that can occur include
appending confusing or conflicting modifiers to HCPCS or CPT codes, and entering
the wrong number of digits with an ICD, CPT, or HCPCS code. Sometimes, codes
may be left out altogether. Undercoding, upcoding, and poor documentation are
other common errors.
 Duplicate billing: This happens when the physician’s office submits a claim for a
procedure without checking whether that service has been already reported or paid
for.
 No code linkage: Code linkage means linking the diagnosis code to the procedure
code to demonstrate medical necessity and justify payment. If the code linkage does
not show medical necessity, the claim will be denied.
 Sending the claim to the wrong payer: This can happen in busy offices with a
large volume of patients. It occurs when the person entering the insurance data does
not have a copy of the insurance card or is negligent when performing the job.
Medical Billing Outsourcing Can Ensure Accurate and Timely Payment
Established medical billing companies have teams of qualified and experienced billing
specialists and certified medical coders. With an in-depth understanding of medical billing
and coding processes, a reliable service provider ensures that physicians get paid correctly

3. www.outsourcestrategies.com Phone: 1-800-670-2809
for their services. These companies provide a comprehensive suite of solutions for
physicians’ offices, which would include:
 Patient scheduling and reminders
 Patient enrollment
 Insurance enrollment
 Insurance verification service
 Insurance authorization services
 Medical coding and audits
 Billing and reconciling of accounts
 Account analysis and Denial Management
 AR management
 Financial reports
The skilled medical coders in these companies are up-to-date with ICD-10 codes and the
latest CPT codes, and would know how to code even complex procedures correctly. The
billing team would be skilled in using electronic billing systems, will enter all claims
correctly, and double-check them before they are sent out. They would be also well aware
about the rules of leading insurance companies, which will ensure standardized claim
submission. If a claim is denied, they will follow up on it, correct any issues, and resubmit it
for payment.
With their extensive expertise in billing and coding for health care providers, the right
medical billing outsourcing company can reduce the risks of costly and time consuming
errors on claims. They can streamline billing processes and help providers get accurate and
timely reimbursement.