Best Medical Billing Techniques

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Best Medical Billing Techniques

In a digitalized world, Medical billing companies must strengthen their service to empower the healthcare sector. Therefore, some best medical billing techniques can speed up getting paid for your services by insurers and patients. Everyone prioritizes getting paid on time, but those in medical professions do so mainly. Unfortunately, it frequently takes months between providing services and receiving payment. Therefore, here are some suggestions for medical billing that will speed up the procedure and increase your cash flow.

  1. Maintain your knowledge in your field.
  2. Firstly, the best medical billing technique is to keep abreast of changes in your field and the healthcare sector, regardless of the specialists and software you have at your disposal. This could involve updates to CPT-10 and ICD codes and modifications to state medical laws. Such modifications may cause enough changes in your medical billing and coding procedure to cause claims to be rejected or denied. Keep an eye out for news to avoid that fate. Your team will find the medical billing process more accessible, and your practice will earn more money.

  3. Employ billing services that are outsourced and medical software platforms.
  4. The patient payment and intake processes can be significantly sped up by the practice management software (PMS) component of medical platforms. Most medical software platforms integrate integrated electronic medical records (EMR) with patient management systems (PMS), which can automatically fill out your claims with service information to aid in better coding. When you outsource your medical billing, you give up control of the entire process to a full-time team of medical billers and coders who work for someone else rather than your own front-office staff. Doing this gives your front-office staff more time to focus on patient-facing issues and turn your revenue cycle over to highly qualified professionals.

  5. Verify the data about your patients.
  6. The most followed best medical billing technique is to examine the information about your patients. It's just as crucial to record how you treat patients when filing medical claims to have their basic information on hand. As likely a cause of claim rejection as incorrect CDT-10 codes are incomplete primary information sections on the HCFA and UB-04 forms. Take the following actions to guarantee precise, up-to-date patient information on all of your claims.

    1. Obtain the contact and demographic information of the patient.
    2. TSimply explicitly requesting this information can have an impact. The way you phrase the question can have a huge impact. Your patient might not know how recent the information is if you ask, "Is your information up to date?" or "Has your information changed?" Instead, if you ask, "Is your address still X?" the patient can spot mistakes immediately.

    3. Check the patient's insurance coverage.
    4. In the same way that patients might not be aware that the fundamental information on their records is out-of-date, they might also be ignorant that their insurance information is inaccurate. Request the patient's insurance ID, policy number, and group number (if applicable) during intake. Contact the insurer once you have this data to confirm the patient's benefits and coverage. Ask the patient about copays and also make sure to remind them of them.

  7. Outline the terms for patient payment.
  8. Another best medical billing technique is to describe the specifications for patient payment. Consider that you've already taken the first step and discovered that your patient's insurance will pay for your services in exchange for a $80 copay. You should ask the patient for that $80 as soon as possible. To achieve that, take the following actions:

    1. Explain to patients what they owe, when they should make payments, and how.
    2. Don't assume they will know their copay amount when you check patients in.Instead, mention the patient's copay when they check in and demand payment there and then. Request payment up front, but show flexibility if the patient cannot do so.

    3. Set up a patient communication process.
    4. Consider a scenario where a patient arrives at their appointment unable to pay the copay. You'll need to stay in touch with the patient until they pay in that case. You can do this by sending written or electronic reminders for payments.

    5. Send any necessary patient statements.
    6. Ideally, your patient will only have to pay a copay, and the rest will be covered by insurance. However, that isn't always how reality operates. The patient is responsible for paying the remaining balance if the insurer rejects all or part of the claim. Send patient statements describing the claim and the portions the insurer declined to pay to inform them of this information.

    7. Decide how to handle patients who don't pay.
    8. Patients who fail to pay their bills are unavoidable, sadly. To successfully contact these patients and request payments, you must have solid workflows in place. Select the channels of communication that feel the most diplomatic and successful for contacting the patient. Identify the circumstances in which appeals of denied claims should be sent to the insurer rather than the patient (who can then appeal rejections on their own). Make collection efforts for patients a last resort.

  9. Incorporate the fundamentals into your claims.
  10. Resubmitting rejected claims could take several weeks if you handle your medical billing in-house. Your cash flow won't be as strong as needed because of all the lost time. Many claim rejections result from simple mistakes that could have been easily detected at the beginning of the medical billing process. Verify the patient's insurance information and demographics are correct before submitting any claims. Be sure to indicate the right provider. You won't be rejected as a result of obvious mistakes in this way.

  11. Recheck all of your codings.
  12. Incorrect medical coding is a significant factor in claim denials as well. It's simple to code a claim incorrectly because there are a staggering number of five- or six-digit codes for medical services. Claim scrubbers can fill in the gaps left by human error detection. All codes on your claims match the services you are billing for using these automated programs, which are frequently included with third-party medical billing services and clearinghouses. Any inconsistencies are flagged as errors by the program, and it instructs you on how to fix them.

  13. Choose a strategy for handling claims that are denied or rejected.
  14. Rejections and denials are unavoidable, no matter how much effort you put into thoroughly reviewing your claims before filing. Your choice of what happens next could significantly affect your cash flow and billing expenses. The good news is that managing denied claims is typically one of the best medical billing techniques that can examine the errors the payer has pointed out, fix them, and then resubmit the claim. Even if there is a delay between the resubmission and the payer, this procedure is usually quick and painless. Even though you can transfer the responsibility for filing an appeal to the patient, it's common for practices to act on the patient's behalf. Third-party medical billing companies frequently include denial management.


Intellimedx is a medical billing company having a team of professionals with an experience in professional component billing and coding services. With the best medical billing techniques, they consistently offer clients results across various medical specialties. We comprehend the nuances of efficient billing procedures for the services provided by radiology practices. We also strive to assist in generating more of the income your practice deserves by maximizing reimbursements, minimizing expenses, and reducing compliance risks.