Billing seems straightforward at a glance, but it can be complicated, and costly, if not done correctly. The two most important actions in billing is accuracy, and timely submission. Once the charges have been entered, claims can now be submitted. The last step is to wait for the payments to be posted and applied, hoping that you don’t get a denial.
So many insurance companies, so many ever changing rules. Every claim submission is payer specific. Some companies might allow a specific time frame before you are no longer able to submit. You might even have a situation where a company has two different claim submission addresses, based on the type of claim being submitted. Yes, I know, how confusing. Keep in mind that these companies have no incentive to help you get your money any faster.
If you do get a denial then your billing team will need to research the reasons why and resubmit. The only interesting thing about this is that they can speak to two different representatives and get conflicting information, and that is after possibly waiting on hold to speak to someone for probably thirty minutes, not counting the time it took for them to eventually be transferred to the right person…Time consuming.
We can help you navigate these difficulties, by applying our experience to many of the challenges you face. We can also, show you how to use technology to streamline the process, reduce denials, and increase efficiency.
