Tuesday 17 April 2018

Minimize Your Delays and Improve Your Collections with Insurance Eligibility Verifications

The number of patients paying through their insurance plans in the US is ever increasing. For this reason, healthcare providers need to strengthen their insurance eligibility verification process all the more. Failure to do this often leads to undesirable situations—more particularly unpaid or delayed claims that ultimately impact revenues. While it is possible to hire an in-house team, it’s often more practical to just outsource this task to a third-party company. If you have tried insurance eligibility verification yourself, then you know how detailed and tedious it is and how much it ties up your resources. Instead of providing excellent health care to your patients, you or your staff are caught up with telephone calls and paperwork that need to be accomplished.

To make the verification process less stressful and minimize delays, healthcare providers seek professional help from medical billing companies overseas. Outsourcing this process results in increased collection and reimbursements from insurance companies.

How exactly do medical billing companies help you? By keeping abreast with the changes of insurance policies, their expert teams of medical billing specialists can check whether a patient is still covered by their primary and secondary insurance plans or not. These agents also contact the patients to ask for more information when necessary. And in case the procedure is not covered, they inform the patient before treatment is given.

A reputable and reliable medical billing company is fast and accurate. They can do insurance eligibility verification ahead of time, offering outstanding services to both the provider and the patient. They also update the medical billing system with important information such as coverage period, co-pays, co-insurances, and deductibles for each patient. If next time the same patient needs treatment, the verification process gets faster.

Know About 3 Anesthesia Coding Rules Which Will Get You the Reimbursement

Anesthesiologists, Anesthesiologist Assistants, and Certified Registered Nurse Anesthetists have huge responsibilities, and the lives of their patients rest on their hands. That's why it is only right that they get paid according to the service and care they provide. Coders or billers have a responsibility to ensure accurate anesthesia coding and timely reimbursements and following three rules help ensure the best results. 

1. Use the right modifiers.

To ensure proper payment from the insurance company to the anesthesia service provider, the coder must be aware of the different types of modifiers and know how to use them correctly.  

2. Include qualifying circumstances.

The anesthesiologist can receive higher reimbursement when the biller reports all the qualifying circumstances of the patient. Doing this also helps in providing accurate treatment to the patient in the future because every important detail is documented in the health chart.

3. Use the right conversion factor.

While computing the total amount of reimbursement, the coder must make sure that he or she is using the current conversion factor. This part can be tricky, as conversion factors for each state are different and ever-changing.

Each level of anesthesiologist has specific codes. They are billed according to base units, time units, and modifying units. Aside from these, many other factors should be considered when identifying anesthesia coding, make coding and billing for this medical service is complicated and daunting. For this reason, healthcare providers choose to outsource this process and let anesthesia billing companies do all the hard work. These third-party companies focus on documenting records and calculating the total amount of anesthesia reimbursement so that healthcare providers can collect payment faster. If you are considering this option, you might want to sit down with offshore anesthesia billing companies to explore your options. The best companies can offer affordable and reliable services.