Mistakes in medical
coding and billing can negatively affect practice revenue in various ways. They
can disrupt your cash flow and take your attention away from your core function
of providing high quality care to patients. They can even possibly lead to
fraud charges, which will harm your reputation and practice. Making a mistake
and actually engaging in fraud are two entirely different things, of course.
However, if the mistakes seem habitual and claims are always getting rejected,
suspicions may arise.
Health insurance
frauds happen when a practice intentionally submits incorrect claims with the
intention of getting paid for services that weren’t actually performed. Physicians
who bill excessive charges, submit a huge number of claims, and perform
unnecessary services may be charged with fraud.
Investigations on
fraud charges can take years. They can also cost a lot and result in the
revocation of a physician’s license. Hence, it’s prudent for doctors and other
healthcare professionals to always be careful when submitting claims. All
activities must be well-documented and all rules and regulations should be
strictly followed.
The truth is that committing
errors and being fraudulent are no different from each other; you may still
face charges whether your mistakes were honest or you actually engaged in
fraud. Medical coding and billing should be taken seriously, and any errors
should be quickly acted upon. At the same time, it is also important to
evaluate and correct the factors that are causing these mistakes to happen.
To make sure such errors
are minimized and fraud charges are avoided, it will be best if you just outsource medical billing and coding duties.
That way, you will have access to trained and experienced professionals as well
as a comprehensive range of services. Outsourcing healthcare services is more
efficient and will help you save money. When you outsource to a reliable
company, you and your staff will be able to focus more on providing quality
health care to you patients.
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