Outsourcing Medical Billing and coding

  Did you know that automating verification practices will lead to annual savings of nearly 8.5 billion dollars for healthcare providers, according to the Council for Affordable Quality Healthcare (CAQH)? Furthermore, healthcare claim denials related to eligibility issues amount to over 75% of such denials, according to American Medical Association (AMA) data. A claim qualifies as clean when it gets submitted correctly the first time. In fact, every hospital requires these claims to maintain financial consistency, together with operational efficiency. Therefore, a hospital’s ability to achieve successful claims depends on completing patient eligibility checks and insurance verification before submission. What Is Patient Eligibility and Insurance Verification? Patient eligibility and insurance verification is the process of confirming a patient’s active insurance coverage and the specific benefits included under their policy before delivering medical services. This verificat...

  Even the proficient chiropractic professionals encounter significant financial challenges due to errors in billing and coding procedures, which could be avoided. The oversight of simple billing mistakes leads to delayed payments, which causes disruptions in cash flow, an increase in claim denials, and a damaging reputation by inviting legal examinations or audits. Chiropractic billing  mistakes send red flags to insurance companies, signaling patterns that suggest overbilling or non-compliance. The appearance of repeated red flags will trigger an investigation against your practice, regardless of your intent. This blog will provide an understanding of common chiropractic billing errors and their avoidance methods to secure your clinic’s revenue stream. What Are Chiropractic Billing Red Flags? Red flags in chiropractic billing are warning signs that indicate potential coding errors, overuse of procedures, or poor documentation practices. Such errors create insurance c...