A study on denial management has stated that the claim denial rates ranged from 0.54 percent to 2.64 percent for major private payers ten years back, in fact, the percentage is still seen increasing; where Medicare denied almost five percent of claims. As denial and rejection of claims in an orthotics billing process or any medical billing process play an essential role affecting the revenue generation and reimbursement rate, careful measures should be taken.
FAQ's Section:
How to reduce the denial rate in your orthotics billing services?
- Proper patient validation and eligibility process should be ensured – as it is seen that one out of five denial claims happens due to incorrect patient information and eligibility process, the person handling the domain has to be very careful. In fact, stringent checking should be involved as it reduces the chances of simple billing and coding errors. Careful checking should be supported along with checking if the patient covered the services and is insured should be initiated. As a single mistake not only lead to denial of the orthotics claims but also delay the reimbursement.
- Ensure proper Documentation for the billing process –for seamless orthotics billing process, appropriate documentation to support the claims is needed for the prescribed orthotics products; this faster the process with ensured revenue generation.
- Ensure experience coder billers and modifier working for your orthotics billing services – in a medical billing or orthotics billing process even a single billing, code or a modifier mistake or gone missing or even wrong resulted in claims denials; this leading to hours of rework and also wastage of time and money. This is why certified coders and billers along with working experience of proper billing and coding knowledge not only reduce the chances of billing & coding error but also help you with the faster claims process.
In fact, today there are many outsourcing organization that not only helps in reducing the rate of denial in your orthotics billing services but also helps with 70% operational cost reduction along with the highest productivity metrics.
