With the outbreak and increased positive cases of the novel coronavirus across the nation, healthcare providers are working continuously servicing the patients. At this critical time of increased demand for their services, it is possible for the billing process to take a back seat which may, in turn, affect the revenue flow affecting the business. Healthcare providers are already struggling in the frontline treating patients. And the other area of concern aroused during this pandemic attack is running the medical billing process smoothly and keeping the healthcare revenue cycle flow intact.
Listed below are some tips to improve billing experience for the providers at this challenging situation:
Covid-19 Billing Issues
For providers billing for the novel coronavirus, clear clinical documentation of all the services provided to the COVID 19 patients are momentous not only now but also for any payment issues that may arise in the months and years following this pandemic. With the increased positive cases in COVID 19, the need for documentation has become more than ever for clarity in the patient’s cost transparency and for processing the claims with the insurance as well.
Billing and Coding Process
Processing the billing and coding files efficiently and decreasing the number of denials are key to have seamless revenue flow now and in the future. But this can be a challenge with the recent changes in the guidelines and policies. To get a valuable outcome, it is essential to use the service of an experienced billing team that has been trained to submit error-free claims and work towards decreasing your denial percentage and maximize your income.
File claims on time
Make sure every claim is submitted within the time limit of the payer. Be aware that you are risking your revenue flow by not submitting your claims within the stipulated time of the payer. Always remember a missed claim is a miss in the revenue flow. By keeping a report to track each and every claim will help in submitting all the claims on time and following up on them on a timely basis.
Insurance Follow-ups
There are cases when the insurance companies may delay or deny a claim even when it is valid, hence it is imperative that the billing team does a regular follow-up on all the submitted claims on a timely basis. Failing to follow up on the claims submitted may lead to a delay in processing the payment affecting the revenue flow. A healthcare provider and their office staff might be engaged with multiple patient care tasks and can miss out on doing a regular follow up with the insurance company. But a dedicated billing company with a trained team to handle your billing will be able to do the required follow-ups and get the claims paid on time.
Payment Verifications
This might sound trivial but it is essential to crosscheck that every claim has been paid in full. Analyzing each claim to verify whether it is paid correctly or not should be a part of the billing process and will help in avoiding underpayment. It is also important to resubmit the underpaid claims with the insurance until you get paid in full.
About e-care
E-care India is a reputed offshore medical billing company providing exceptional Medical Billing services including Medical Coding and Revenue Cycle Management, Provider Credentialing Services, Insurance eligibility verification services. Our medical billing experts use process automation and achieve operational excellence by doing things meticulously for our clients. High quality of services within the agreed timeline is a vital factor that differentiates us from the competition. To know more about our medical billing services, visit us at www.ecareindia.com