Medical Billing Services involves numerous meticulous details integrated at different stages by various people to make it a payable claim. The complexity of the process might vary depending upon the specialty. Some specialties which include detailed procedure needs documentation to be detailed to acquire maximized reimbursement from Insurance, failing which will lead to increased chances of erring during the claim processing. Radiology Medical Billing Services is one such massive specialty that usually needs high attention majorly because of an immense number of claims processed on a day-to-day basis. To enhance Radiology Billing, read through this article which serves as an Ultimate Guide to Radiology Billing-related concerns.
Complexities Involved in Radiology Billing
Billing for Radiology Services can be challenging owing to several reasons as listed below.
- Incomplete and inaccurate documentation
- Keep Atop of Policy and Regulations Changes
- Updates in Coding Guidelines
- Keep a tab on deletion and addition of CPT codes
- Claim templates to abide carrier requirements
Complete and Accurate Documentation
Efforts to a cleaner claim and full reimbursement start right with the radiologist’s documentation of the procedure done. Radiologists are obligated to understand the billing and coding requirements and provide apt and complete documentation for the procedure handled to ensure the coders and billers are able to bill the claims with clarity. A complete and accurate procedure documentation will ensure the major possibilities of errors in billing and coding are curbed down.
Keep atop of Policy and Regulations Changes
Insurance companies can changes their coverage policies anytime; similarly, Medical Billing rules and regulations can go through regular updates and edits to meet the ongoing medical requirements. It is mandated that the radiologist and the medical billing company take efforts to keep themselves in-line with such changes and updates, failing which can affect your Medical Billing Process and Revenue flow.
Updates in Coding Guidelines
CMS and Medicare strive to ensure efficiency in Medical Billing Services which leads to constant updates and changes to the existing guidelines. Medical Coding is updated to meet the constant upgrades in Healthcare. Any member involved in Medical Billing is expected to follow the updated guidelines.
Keep a Tab on Deletion and Addition of CPT Codes
CPT which is Procedural codes and ICD – International Classification of Disease which is Diagnosis Codes are constantly reviewed for betterment and standardization. During this process, codes that are obsolete are deleted and new codes to meet the current need is introduced. Coders are required to keep a close tab on the coding changes in related specialties to avoid denials.
Claim Templates to abide Carrier Requirements:
Most insurance companies have a set template for claims submission, these might differ from one carrier to another. It is necessary that Biller and coders use right template for claims processing and ensure all required information are captured accurately to ensure submission of clean claims and due collection.
Best Choice for Radiology Billing
Outsourcing can be the best choice for Radiology Billing. The benefits of Outsourcing have been proved and established. The growing number of offshore-based Medical Billing companies is proof by itself on how Medical Practices, groups and Billing Companies across the US are able to get maximum collections with quality billing. Offshore Outsourcing is cost-effective and stress-free which enables the billing companies to reap better savings with minimal efforts.
About e-care
E-care is one of the leading Medical Billing Companies providing complete Revenue Cycle Management Services for more than 2 decades. With more than 100+ clients across various states in US and being a multi-specialty billing company, e-care can provide dedicated and focused billing services to all our clients. To know more about our Radiology billing expertise log on to www.ecareindia.com