Do you think about using a third-party service provider to handle your billing? These are the three questions experts recommend that you ask before you sign on the dotted sheet. It is essential to be ICD-10-compliant in a post-ICD-10 world. Ask the Outsource Medical Billing Services company if they have implemented ICD-10 codes. Also, note the state-of-the-art solutions available to code after October 1, 2015. If you aren’t sure about the vendor’s readiness, it is best not to take any chances and switch to a better service provider. Medcare MSO Medical Billing Services must help patients link the quality of their care with the financial responsibility they will be taking on for that care.

Outsource Medical Billing Services

Are there appropriate security measures in place?

It is vital that you check with your third-party service provider to make sure your health records are protected at all costs. Do some research to get a better idea of the security measures taken by the vendor. You should also check if the vendor offers emergency plans and backups, and choose the one that does.

What about system integration?

The third most important question to ask is whether the third-party service provider integrates with your existing electronic medical record system. Don’t trust vendors that don’t provide seamless integration. These are the most important questions before outsourcing your medical billing. This can cause financial strain on the office. These departments are often small, sometimes involving just one person. This can lead to backlogs or delays if employees are sick or on vacation. 

Non-enrollment/no coverage:

If a patient isn’t enrolled, or if a procedure isn’t covered by insurance, the claim may be denied. Referrals are required for certain claims. In the absence of one, there may be a denial. They can deny any claims if they don’t have pre-certification. 

They can also deny claims if they feel that a medical procedure is unnecessary. There is a high chance of denial if the proper supporting documents aren’t submitted. Illegible entries Some payers do not accept electronic claims. If the claims are not legible, they will be denied. However, the claims can still be scanned.

Establish a procedure to inspect every denied claim to verify its accuracy. An appeal is possible. The majority of denied claims are not appealable. It would be a good idea to contact your insurance company to find out why a claim was denied. 

To check on the status of denied claims, it would be a good idea to follow up on each claim at least once per month. Automated systems for tracking, monitoring, and obtaining data could reduce errors and save time. A letter to your insurance carrier is one of the best ways to appeal a denied claim. The letter should include all the information such as the patient’s name, claim number, and date of service. All supporting documents should be included with the letter.

We are worth your consideration

We are a HIPAA, Medicare, and Coding-compliant outsourced medical billing provider. Our goal is to help providers focus on their core tasks without worrying about administrative tasks. Our team of AAPC-certified coders and medical coding support personnel perform routine billing tasks in accordance with the latest ICD-10 guidelines. We offer hassle-free administration.

We understand that no one solution fits all. Therefore, we offer custom-made coding and billing solutions to meet every client’s business needs. We have state-of-the-art infrastructure to help increase cash flow and reduce coding costs by nearly 40%. Get in touch with us right away to outsource your medical billing or collections needs.