Just when you thought medical billing couldn't get any more complicated, the new ICD-10 codes came out on October 1, 2015. The codes are a lot more complex than ICD-9. A lot of doctors are scratching their heads over it and asking themselves how they are going to get paid. A lot of doctors' offices are seeing audits by the insurance companies and a constant rejection of the claims that they are submitting to them. Doctors are often asking themselves, what gives?
Medical billing audits are becoming more common now. Medical doctors are beginning to see their practices being audited by the insurance company's. The insurance companies are tired of fraud. They often feel that doctors and blood labs are not being honest with them when it comes to their services rendered. For years' patients have been complaining about getting overcharged at the doctor's office. They went in for a simple headache and came out with a bill for $500.00. Were the tests really necessary or could the doctor just have given the patient some headache medication?
When your patient gives you their insurance card, are you purposely making them do extra tests so that you can make money off of them? Insurance companies are asking these questions and many more. The new way of medical billing in 2016 and beyond is to document everything. Be honest with yourself and your patients. If your patient is in shape and has normal blood work, do you really need to send them to the lab again a second time in the same week? As crazy as it sounds, some doctors do. This has gotten the entire industry in rough shape now. Many insurance companies have stopped working in certain states because they felt that there was too much fraud going on.
Learning how to work with the insurance companies and the medical billing company is what is going to see your success. Simply put, the medical codes are now longer. You need to invest in new software because of it. It actually may be cheaper to just let the medical billing companies do the tedious work for you. Doctors spend more time filling out paperwork than they do with their clients. This is always a tough battle and topic to talk about for licensed physicians.
Is insurance company's wrong for requiring more information? Would you willingly write a check to someone if you didn't really understand why they were sending you a bill in the first place? This is the stance of many insurance companies across the world. Insurance is now a tough industry to be associated with. It seems as though it is worth the money to hire a carried ICD-10 medical coder these days. It takes a lot knowledge and experience to deal with the new codes that are coming out. We will soon see the impact that these new codes will have. Right now they are having a negative impact on many treatment centers and hospitals around the world.
Medical billing audits are becoming more common now. Medical doctors are beginning to see their practices being audited by the insurance company's. The insurance companies are tired of fraud. They often feel that doctors and blood labs are not being honest with them when it comes to their services rendered. For years' patients have been complaining about getting overcharged at the doctor's office. They went in for a simple headache and came out with a bill for $500.00. Were the tests really necessary or could the doctor just have given the patient some headache medication?
When your patient gives you their insurance card, are you purposely making them do extra tests so that you can make money off of them? Insurance companies are asking these questions and many more. The new way of medical billing in 2016 and beyond is to document everything. Be honest with yourself and your patients. If your patient is in shape and has normal blood work, do you really need to send them to the lab again a second time in the same week? As crazy as it sounds, some doctors do. This has gotten the entire industry in rough shape now. Many insurance companies have stopped working in certain states because they felt that there was too much fraud going on.
Learning how to work with the insurance companies and the medical billing company is what is going to see your success. Simply put, the medical codes are now longer. You need to invest in new software because of it. It actually may be cheaper to just let the medical billing companies do the tedious work for you. Doctors spend more time filling out paperwork than they do with their clients. This is always a tough battle and topic to talk about for licensed physicians.
Is insurance company's wrong for requiring more information? Would you willingly write a check to someone if you didn't really understand why they were sending you a bill in the first place? This is the stance of many insurance companies across the world. Insurance is now a tough industry to be associated with. It seems as though it is worth the money to hire a carried ICD-10 medical coder these days. It takes a lot knowledge and experience to deal with the new codes that are coming out. We will soon see the impact that these new codes will have. Right now they are having a negative impact on many treatment centers and hospitals around the world.
About the Author:
We are a professional medical billing and coding organization in the United States. Our clients depend on us for facility billing services and other types of billing. We offer products such as verification of benefits and utilization management.
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