What Are the Most Common Medical Billing Mistakes and How to Avoid Them?

According to the American medical association, medical coding errors can be classified as abuse or even fraud. The word “Abuse” itself is used to mean the mistake made in coding. But even if classified as a mistake, the consequences that they entail are severe. Simultaneously, the fraud is used to mean that efforts were there consciously to increase profit fraudulently.

According to them, generating and using CPT codes and billing can be regarded as a very complicated process and varies from patient to patient. The process also varies from company to company and from procedure to procedure. It means that no two cases are going to be the same.

You’ll find that even some of the best financial services can get their claims denied. Some of the mistakes that the insurance companies commonly make can help you better deal with them. These errors related to billing, coding, and errors related to filing are taken from actual claims filed and, thus, are a practical illustration of the commonly made mistakes.

IF YOU NEED HELP WITH YOUR MEDICAL BILLS, YOU SHOULD READ THE FOLLOWING:

1. CODING THAT DOESN’T POINT TO A PROCEDURE SPECIFICALLY:

For every diagnosis, coding must get done till the highest level is reached for that particular code. This means including the most number of digits that can be useful for a particular code. If you want an example,

In the case of ICD-9 essential hypertension can be noted as “malignant,” “benign,” or “unspecified” using the following codes respectively, “401.0”, “401.1”, and “401.9”. “170” is the code in the case of ICD-10. Primary hypertension in the case of ICD-9,401.0 will include high blood pressure, but if you don’t have a hypertension diagnosis, high blood pressure will not get included. You’ll find that this is denoted in the case of ICD-10 with R03.0.

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Location: Jacksonville, FL 32256, USA

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