A Guide to Minimizing Claim Denial

September 30, 2020

4 Tips for Minimizing Claim Denial

A claim denial can prolong the payment process and may even prevent your organization from achieving payment from the insurance company. One of the best ways to avoid a claim denial is to follow the guidelines offered by experts in the billing marketplace. Our team at ProMD Practice Management has decades of experience in the industry, and in this latest post we’ll highlight our four tips for minimizing claim denial.

1. Ensure Staff are Properly Trained

Your staff should be properly trained to respond to all billing demands within the office. They should know how to submit clean claims and how to follow all the latest legal guidelines while going through the claims process. For example, they should know how to select the right procedure and diagnostic code within their billing. They should also be able to verify the eligibility of patients before scheduling appointments. This can help to streamline treatment.

2. Choose Quality Claim Scrubbing Software

Claim scrubbing software can be critical to the success of a medical service provider. The claims scrubbing software helps to associate the patient with the code in the billing process. It works to identify any demographic information mistakes within the claim so that the claim can be processed normally by the insurance provider.

3. Outsource the Billing and Collections Process

Your medical team has a significant workload without having to tackle billing and collections work. They also might not have the expertise to complete billing and collections processes successfully. This might mean that your organization is missing out on billing revenue in addition to team productivity. Turning to a billing and collections specialist ensures that resources are used effectively throughout the organization. The process will help your business reduce billing errors and make sure that bills are paid promptly.

4. Have Regular Meetings on Billing Issues

You should meet with your staff on a regular basis to discuss billing issues and to determine how best to foster an understanding on billing and claims processing. Make sure that any challenges are met with a precise solution and that your billing company has an understanding on the current issues you face.

ProMD Practice Management is happy to help with your billing assessment needs so you can maximize profits and increase patient satisfaction. To learn more about how ProMD can make your practice run like a well-oiled machine, call 888-622-7498 or fill out our online form to request a billing assessment.

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