5 Ways To Avoid Common Medical Billing Mistakes

Posted on Jul 27 2017 - 4:58pm by Editorial Staff

When providing healthcare to the masses, there are so many things to think about. You have to think about how you’re going to store patient information, how you’re going to pay your medical staff, how you can get the best medical staff on-board to provide care to patients, and many other aspects of running a healthcare business. On top of all of that, you’ve got to think about how you bill your patients – your customers. If you mess up the billing process, this could result in patients who are super frustrated that they were billed the wrong amount for the medical care that they received. And we all know how annoying it can be to deal with mistakes made on the part of a healthcare institution.

That’s why you should take the time to learn how you can avoid common medical billing mistakes. There are pretty common mistakes that many staff members make when creating bills for patients. Keep reading down below and you’re going to learn more about how you can avoid these mistakes and improve the experiences of your patients.

Take Care Whenever You’re Writing Up Bills

You might be surprised when you learn what the main reason for billing mistakes is. It’s just from sloppy data entry and mistakes made on the part of medical staff! One of the main reasons why these mistakes happen is the fact that medical staff members don’t take care whenever entering patient information and creating bills. If you want to stop making billing mistakes, then you’ve just got to be more careful when entering all of this data.

However, it can be tough to go through all of that paperwork day in and day out and still get the information correct. This can be seriously tough for the staff members of a medical institution. However, there is no way to make sure that staff members are enjoying doing paperwork. It’s just got to happen in order to properly bill patients. If you are an employee of a medical institution and you need to do billing paperwork, then just know that this is a crucial part of the process. If you are an employer at a medical institution, then be sure to speak with your employees about the importance of correct billing.

Really Understand How Different Denied Claims Are And Rejected Claims Are

Another big way that you can avoid billing mistakes is understanding the difference between a denied claim and a rejected claim. They may seem like the same thing, but they are very different and will have a big impact on billing. When a claim is denied, this means that the insurance company has determined that this bill is unpayable by the insured person. Claims are going to be denied when there are billing mistakes or information that has been omitted or is missing from the submission. A claim can also be denied based on the coverage of the patient.

On the other hand, a rejected claim is one that’s been rejected solely on the base of submission errors. This happens whenever the medical staff member has incorrectly entered patient information and this needs to be corrected. This is a big reason why you should always ensure there is no billing mistakes being made. When an insurance company comes back with a claim that needs to be re-processed, then this is going to frustrate the patient and push back the timeline of getting the billing completed.

Always Triple-Check The Information About Your Patient

We all know that healthcare can be a frustrating process for both the patient and the medical professional or staff member. Many patients don’t want to have their information checked every time that they come into the hospital or clinic, but this is crucial for a staff member to do. You should always verbally triple check the patient’s information to ensure that everything is correct when you go into the billing process. If you don’t, you could get into the situation where you don’t have the patient information or the information is incorrect. When you triple-check with the patient about their information, you can always be assured that the information is correct.

Automate The Claims To Ensure Errors Aren’t Made

One of the best things that a medical institution can do in order to get rid of common billing mistakes is to automate the process as much as possible with a medical billing software. When a hospital or a clinic starts to automate these processes, this is not only going to ensure that billing mistakes aren’t made. This is going to improve the experience of the patients when there are less billing mistakes thanks to automation. In addition to that, this is going to make your medical staff much more efficient in getting their job done. They won’t have to go through the information over and over again to process bills. It’s going to be done right away with the help of an automation software. This is something that many medical institutions are moving towards in order to improve their business.

Focus On The Coding

One of the most confusing parts of the billing process is the coding that comes along with medical bills. It can be pretty complex and complicated for medical staff members to understand. However, it’s super important to get right if you want to ensure that billing is done correctly. If the coding is not done correctly, then the chances are high that you are not going to get the right payment from the patient. Even if you have an automation system, coding mistakes can be made. That’s why every medical staff member should be aware of how to get this coding right and ensure everything is correct when billing.

There you have it! When you’re wanting to avoid common billing mistakes, then these are the steps that you and your medical staff members need to implement. Billing mistakes are no good for your patient’s experience at the hospital, so ensure everything is correct when you bill your patient.

Photo by WF, CC0 1.0

About the Author
Editorial Staff

Editorial Staff at I2Mag is a team of subject experts led by Karan Chopra.