Medical Billing and Coding: Communication is Important

Medical Billing and Coding: Communication is Important

If you are a healthcare professional, you’re well aware of the complexities involved in medical billing and coding and how the procedures associated with such can affect the financial stability of your medical practice. With the transition from ICD-9 to ICD-10, the process of billing and coding has become especially confusing and intimidating, and its potential affect on the fiscal viability of your practice is immediate and overwhelming.

Reason for Concern

There are numerous concerns amongst healthcare providers regarding both the proper reporting of information to payers and those payers misinterpreting that information with that leading to rejected claims, possible audits, and even charges of insurance fraud. In other words, the occurrence of error in medical billing and coding is a two-way street, as both those billing and those paying the bills are prone to making mistakes. For those individuals and institutions that are delivering medical services, the need to communicate effectively with those providing billing services and vice versa is imperative.

When should you be in touch with your medical billing and coding personnel? Here’s a consideration of three instances when clear and timely communication will greatly aid your efforts towards receiving payments from insurance providers and government agencies.

Changes in Your Practice

If your medical practice will be undergoing any type of change, such as the addition of services, offering of new products, or welcoming a new practitioner, it is important to report this to your billing and coding company. This will help them to prepare for any new paperwork they may need to generate, to work with the changes in an efficient manner, and to adjust workloads.

Mistakes Noticed

If you notice any type of a mistake regarding a claim make sure that you report it to your medical billing and coding professionals as soon as possible. It may be a one-time occurrence or it may be something within their system or process that will cause the same mistake to be repeated. Double-checking to make sure that they know about a problem that you have noticed will enhance their ability to provide premium service and your ability to secure the payments to which you are entitled.

Rejected Claims

If you have had a claim rejected, chances are your medical billing service provider will address it with you, especially if they are in need of more information or if the information provided is inaccurate or incomplete. However, if you feel that claims are being rejected by payers despite the fact that you are doing everything correctly, the it’s best to contact those in charge of your billing and coding to address and rectify the issue.

ICD-9 to ICD-10

With the move from ICD-9 to ICD-10, it will be essential that you are in touch with your medical billing and coding service provider prior to the transition and during it. Along with contacting them when any problems arise, you may want to set up a common time for a monthly meeting during which you can address any situations that are adversely affecting your payments.

Periodic Meetings

It is not a bad idea to simply have periodic, scheduled meetings where you can discuss the medical billing and coding process and any possible changes on your part or your billing service that may enhance productivity. Sometimes the best way to avoid having to deal with problems related to paperwork and payments is to address issues before they turn into situations that need rectification. If you are a medical professional, being proactive in terms of communicating with your medical billing personnel can benefit you and them.

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