Submit Your Claims Through EDI to Reduce Processing Delays

EDI or the Electronic Data Interchange has made life simpler for medical professionals in several ways. The efficient way it transfers information between two sources, either the physician to the patient or the claims department, makes it simpler and faster. The EDI set-up works at providing accurate and reliable information, through electronic transfer, at a minimum possible time.

Here are some of the major benefits which show why electronic claim submission is one of the best ways to submit claims.

• EDI is fast and efficient- The new technology has changed the way we operate. No big documentation, no spending grueling hours struggling to meet data, or submission of claims. The EDI offers us swift and accurate claim processing, without delay.

• EDI is cost-effective- Long hours put into filing, documentation, storage, or in papers used to file these claims, or documenting information, all can be saved through EDI set-up. Just an efficient system in place, either in-house, or outsourced, can help in dealing with the mess, albeit without the clutters or the cost spent on manpower. Using electronic claim processing is, therefore, definitely cost-effective.

• Accurate and reduces claim denials – Any electronic system, when handled by an experienced player, and with all systems in place, can give accurate results. As a reward, one can expect precise and accurate results, and fewer claim denials, which is a bane of any clinical experience. 

• Reduces manpower – Documentation and data entry are something that includes a huge manpower to handle it. When you run a bigger setup, it goes without saying that there are innumerable claims every day, and thus, you would need several people to handle it effectively. EDI, however, has reduced this necessity, with its efficiency.

The Electronic Data Interchange claims to have reduced the cost by almost 35% and also the processing time by more than half (61%). Shifting your claim processes to EDI set-up can, therefore, help you process all clinical transactions successfully, and also at a reduced cost and time.

Blog Source URL: https://www.ecareindia.com/blog/submit-claims-edi-reduce-processing-delays/

Increase Your Return on Investment With Offshore Medical Billing

Medical billing can be a cumbersome and time-consuming process, what with claims to address, denials to redress, and applications to process. All this can take a whole lot of effective work hours from your employees. However, as per the norms, it is essential to produce perfect, and code-corrected medical bills for denial management and approvals. More so than ever, healthcare centers and clinics are outsourcing their billing systems to ensure efficient and accurate processing of bills.

Outsourcing today has become quite common among professionals working in the medical sector. One of the essential reasons behind its success among the health care professionals is that it provides a comprehensive package to the clinics. Not only the outsourcing agencies handle the billing problems, but also ensure they employ best professionals depending upon your requirement. It becomes the responsibility of an outsourcing agency to recruit, train, and employ experts to deal with all aspects of the billing. As a result, the clinic or the health care center will not have the responsibility of recruitment or training of professionals. Think of the space, all the troubles and cost it will save in the process.

As for the cost, it is not only the employment issues or the recruitment process of the professionals that involves money. There is training to consider, redressing any claim denials, the time-consumed in answering to these denials, and many more such smaller issues that crop up with the billing can sit heavy on the profits.

Similarly, with the medical coding changing year after year, and new versions of coding systems introduced, it becomes difficult to keep track of everything, and also run the essential part of the clinic- treating patients for their illness.

Hence, outsourcing offshore medical billing can reduce the overhead costs, prevent delays, and take care of all mundane, and crucial parts of the billing, without involving your employees, thus, increasing your return on investment.

Blog Source URL: https://www.ecareindia.com/blog/increase-return-investment-offshore-medical-billing/

Prevent Medical Coding Errors by Complying to HCC Medical Coding Audits

Here’s a fact: The main causes of medical claim denials are medical coding errors. These human errors are very easy to make because new codes are routinely introduced. There was a dramatic increase in claim denials in 2015, because of the transition to new codes. Add to this the fact that in-house medical encoders also distracted by the many other functions they perform in the hospital or clinic, and it’s easy to see why so many mistakes are made. How can healthcare providers avoid medical coding errors? Below are some essential tips. 

• Stay updated with the latest diagnosis codes and current procedures. Codes will probably continue to evolve in the future. Coders in the healthcare industry should always update their codebook and keep up with the changes. This way, they are always on the same page as insurance providers and clients. 

• Do not use truncated codes. While speed is necessary, the coder's goal should be accuracy. There should not be any place for truncated codes. Physicians should also be careful in providing precise clinical documentation to help coders select the appropriate or specific diagnosis codes.

• Read the entire medical chart note. Some coders only read the header or the summary of the chart note before coding. This is not a good practice because the expected procedure may still change as the doctor orders more examinations or tests on the patient. It's always better to double check the chart note, too. 

HCC medical coding errors are a waste of time and money. On their own, it is often very difficult for hospitals and medical practices to implement a streamlined process for HCC medical coding audits. The good news is that you can always outsource these functions to third-party providers that offer HCC medical coding services. They can dramatically improve your revenue cycle management with their efficiency and accuracy. To get the best quality service, choose a trusted company with a medical coding team that has AAPC certificated Coders.

Medical Coding Services: Avail Faster Claims with Accurate Processing

The medical coding process is no doubt complicated and time-consuming, and the ever-changing legislations and requirements make it even more compound. If you are still doing it in-house, you are probably losing precious time and money. Some of the most successful Medical Billing Companies today choose to outsource this function to expert third-party company that offer medical coding service because they realize the positive impact of accurate processing on their bottom line.

Outsourcing your medical coding functions does not mean that you are no longer ‘in control.’ In fact, it puts you in a better position than ever because it ensures that this administrative aspect is never overlooked. Outsourcing ultimately enhances the experience you provide to your end clients. And if there are no errors, payment of claims is faster.

Outsourced medical coding service can lead to accurate processes and faster claims. To ensure that you can truly enjoy these benefits, make sure that you are partnering with an o offshore Medical Billing service that has the following credentials:

1. Expert coders

The best outsourcing companies invest in training their employees on the latest codes and guidelines in the industry. Their level of speed and accuracy is better, and their processes are designed to minimize coding errors. When you work with them, you work with people who devote 100% of their time to medical coding—they are not distracted by other client relations activities.

2. Various coding services

The best outsourcing company is not only knowledgeable in one type of medical coding service, but in all of them. They are indeed capable of providing the best solutions catered to your organization's needs. These companies also have disaster recovery strategies to guarantee uninterrupted operations.

3. Accreditation

Most importantly, the best medical coding companies have accreditations and certifications. Choose one that is ISO certified and HIPAA compliant. Also, find out whether their coders are certified by American Association of Professional Coders (AAPC).