Coding Guidelines for General Surgery GuidelinesPDF

1. 3 Simple Hacks to Reduce Denials Researching on the denials and re-submitting the clean claims is quite a frustrating and time-consuming, tedious process. Thereby, it’s essential to have a claim denial management strategy in place so that you can quickly identify the reasons for the denial, resolve the issues, recover the payment, and prevent further denied claims. The longer you wait to re-submit the claims, the higher the chances of not recovering the maximum reimbursement amount from the payers. Or, even the worst part is that you won’t be able to recover a single penny. Did you know that the healthcare industry experienced an average claim denial rate of 5- 10%? However, the good news is that about two-thirds of these denials can be recovered with proper re-submissions, and nearly 90% of them are entirely avoidable. inquiry@infohubservices.com https://infohubservices.com/ Call us +91 829-746-441

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3. Check Patient Eligibility and Insurance Coverage The very first obligation of the front office is to verify the insurance coverage and the patient’s eligibility benefits before scheduling an appointment or providing the services. This will ensure that the submitted claims don’t get rejected for any such reason. In fact, it is mandatory to obtain an authorization number or a referral in certain circumstances, else the claims might get rejected by the payers. To reduce the claim denials, make sure that the submitted claims are complete in all respects and must fulfill the following certain conditions: 1. It must be evident and supported by the medical necessity and other related documents; 2. It must be submitted or filed within the specified timeline; and 3. It must be filed by the insurance provider already mentioned in the authorization or the referral. inquiry@infohubservices.com https://infohubservices.com/ Call us +91 829-746-441

4. File Claims On Time • The different insurance payers have different requirements for filing the claims. If you miss a deadline, you will miss the chance of getting the payment, i.e., your claim will be denied. • Therefore, try not to risk the claim denials simply because of an office backlog or an oversight. Instead, make an effort to develop the processes and cheatsheets to ensure all the deadlines are timely met. • You can initiate the process by using the patient schedule as the beginning point to file all the claims on time. Thereafter, establish the routine of checking with the payers regarding receiving all the claims, even if submitted electronically. inquiry@infohubservices.com https://infohubservices.com/ Call us +91 829-746-441

5. Keep Track of the Claims • Keeping track of the claims throughout the entire payment process is another simple hack to reduce the denials. This will help you in identifying the problem and the probable solution to get the claim paid. • A recent study by one of the doctors from the University of California found that the medical practices spend around 8-14% of their total revenue on the clerical follow-up of the rejected claims. • Therefore, the need for an hour is to opt for a better and more cost-effective solution of collaborating with the offshore medical billing company in India. inquiry@infohubservices.com https://infohubservices.com/ Call us +91 829-746-441

6. Additional Hack • Apart from the above simple hacks, another best way to reduce the claim denials is to outsource your medical billing tasks to one of the experienced medical billing companies in India. • Outsourcing proves to be the best option, provided it has been outsourced to the Info Hub. Moreover, it can be quite challenging to deal with the denials using the trained staff compared to the expert billers and coders. • In fact, it is the most cost-effective option to go in for the medical billing and coding services outsourcing to Info Hub and rely on their denial experts’ services. inquiry@infohubservices.com https://infohubservices.com/ Call us +91 829-746-441

7. Conclusion Whether your practice is experiencing rapid growth or you are looking for ways to make your practice more efficient so that you can begin efforts to bring in new patients, it makes sense to consideroutsourcing medical billing services. Outsourcing to an experienced agency such as Info Hub has numerous advantages, as long as you carefully vet the companies for your contract.

8. About Us Though there are several common benefits offered by offshore medical billing companies, but choosing the right medical billing partner plays a vital role. Info Hub is one of the leading offshore medical billing companies in Coimbatore, India, with sophisticated infrastructure and skilled manpower that is highly experienced in multiple aspects of medical billing and coding, to support healthcare practices grow heights and develop consistency in generating revenue. If you are looking to outsource your medical billing and coding services to a reliable outsourcing partner, Info Hub is your ideal choice. With more than a decade experience in providing excellent medical billing and coding services, Info Hub has earned high client value by building trust with its top- notch services. For a quick appointment, make a call to +1-888-694-8634 / +91-0422-4212455. inquiry@infohubservices.com https://infohubservices.com/ Call us +91 829-746-441

9. Contact Us Info Hub, Sf No 558/2, Udayampalyam Rd, Nava India, Coimbatore, Tamil Nadu 641028 Call Us: +91 829-745-6441 Email Us At: inquiry@infohubservices.com inquiry@infohubservices.com https://infohubservices.com/ Call us +91 829-746-441