The medical billing department in any practice serves an essential role – keeping track of the cash flow and working hand in hand with insurance providers. The work is hardly glamourous but it is essential nonetheless. Whether your billing department is running efficiently or there are few glitches, there is always room for improvement. Here are some common things your medical billing department may be overlooking. If any of these are familiar, you are not only losing at the bottom line, but you are draining valuable resources that can impact the quality time you spend doing what you do best – taking care of patients.
Proper coding is an essential part of medical billing, and crucial to getting paid appropriately for the services you provide. For example, when a patient gets a flu vaccine, you enter the code 90658. Did you know you can also add code G0008 for administering the flu vaccine? Similarly, if a patient gets multiple vaccines in one visit, you can add codes to each vaccine as well as codes for administering each vaccine. These seemingly inconsequential additions in billing can add up overtime!
If you provide emergency appointments to patients who really need it, you should include it in your billing by using the code 99058. These appointments are the type that disrupt other scheduled office services because of their urgent nature. The billing for emergency appointments is additional to the basic services you provide to the patient.
Use Modifier -25
Modifier -25 is a useful code to billing procedures done on the same day as a patient evaluation. However, oftentimes -25 claims do not go through because there isn’t proper documentation on file. When you use modifier -25, it’s essential to provide detailed progress notes for every procedure/activity. Failure to provide detailed notes together with the modifier -25 will likely not go through.
A good portion of an office visit spent with a patient can be billed as counseling, but not all medical billing departments bill for this service. Sometimes a visit is short and simple. It could be a administering a vaccination or a quick re-evaluation to reissue a prescription. However, there are times when appointments take much longer. This could include assessing symptoms, discussing treatment options, and other concerns related to serious condition. You want to make sure every base is covered; your patient deserves this. But such counseling can take up a lot of time and should be billed for, as well. Be sure to document every interaction you have with a patient, including time spent as well as detailed notes on the counseling you provided.
Having a good team on your side can help make your life much easier. By outsourcing your medical billing services to ProMD, you can increase your revenues 20% or more within 90 days. Our specialized back-office team working on your behalf is adept at claims submission, payment posting, insurance follow-up, and patient statements. We not only take the burden off handling billing functions, but also help you pinpoint financial opportunities so you can drive practice revenue while we fast-track your billing processes. To learn about how ProMD can help your practice run more efficiently and effectively, call 844-236-5488 or fill out this online form to make an appointment today.