Top 5 Medical Billing Obstacles

Top 5 Medical Billing Obstacles

If you find your medical billing system challenging, you’re not alone. Your billing process and revenue cycle are the backbone of your practice. Accurate billing procedures are crucial to ensure you are reimbursed appropriately—and your patients are not overcharged. 

Here are the top five medical billing obstacles your practice may be facing:

  1. Improper Coding. Wrong coding practices can be detrimental to the operations of your practice, including continual claims denial and missed revenue opportunities. 
  2. Absent and Incorrect Patient Information. All patient information needs to be available and accurate. A blank field or wrong spelling can provide a valid reason for the claim to be denied.
  3. Missing Referral or Authorization. Appropriate paperwork must be included with each claim. Failure to do so can result in the insurance company sending a denial that requires resubmission. 
  4. Services Not Covered. To avoid an uncomfortable situation with both the insurance company and your patient, covered services should be verified by staff prior to every visit. 
  5. Lack of Patient Education. A patient may not be aware of their coverage and the requirements of their insurance carrier. Proactively educate and inform patients about their financial responsibility. 

With the right medical billing system in place, you can overcome these challenges. That’s where we come in. California Medical Billing can handle your billing needs so you can focus on what you do best—taking care of your patients. 

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