In the medical billing industry rejection and denial plays a very vital role in impacting the reimbursement and cash flow in the revenue, disrupting the whole of revenue cycle management. In fact, a study in 2013 by American Medical Association’s (AMA) reported that the claim denial rates ranged from 0.54 percent to 2.64 percent for major private payers, while Medicare denied almost five percent of claims.
This is why if your requirement is of seamless orthotics billing process, here are a few things you need to keep on mind if you want a reduction in your denial rate.
- Proper verification and eligibility process- the person in charge should go through every process carefully checking and re-checking if the patient covered the services and is insured. As if a single mistake like the spelling of a name can also lead to denial in the orthotics billing process.
- Experience coder and modifier required - if a single code or a modifier is missing or wrong the entire claims are denied or rejected and have to go through the same process again. This is why experience and certified staff with proper coding knowledge is needed.
- Proper Documentation – in order to support the file for seamless orthotics billing process, appropriate documentation is needed for the orthotics products prescribed.
However, that is not all, finding the perfect operational extension that has the above knowledge and can help you with reducing your denial rate for orthotics billing is equally important.
Sunknowledge services Inc: the perfect destination for the reduction of your orthotics billing denial claims:
Providing unparalleled operational transparency for more than 20 specialties, Sunknowledge Services Inc has the perfect robust redundancy plan (disaster management plan). With more than 100s satisfied clients Sunknowledge experts with its 99.9% accuracy rate not only help you with highest productivity metrics but also replenish your revenue. With a complete training staff to understand payer policies and regulatory requirements which is critical, Sunknowledge expert helps in achieving the highest collection rate with 80% operational cost reduction. Offering a complete pre and post orthotics billing services at a low service charge Sunknowledge Services Inc is the ultimate solution.
Helping most of the big names in the medical billing industry experience seamless orthotics billing process, Sunknowledge is the one-stop destination. For more information, get in touch with the Sunknowledge expert itself.
