Hospital Coding For Medical Billing Claims

Hospital Coding For Medical Billing Claims

Hospitals can be fast paced, shift changes and sometimes the lack of documentation can all hinder the reimbursement process for your medical billing claims. Hospital coding techniques can vary greatly since so many individuals handle the coding and documentation and usually they require a good deal of overview.

Medical billing for out patient and X-ray labs is usually very cut and dried to process as you only need to check the orders for necessity (especially for Medicare medical billing claims) and you need to make sure you have the proper documentation prior to submitting your medical billing claims. Asking for missing information in order to submit your medical billing is probably something that ties your staff up quite a bit, it’s tedious to sit on the phone and have someone looking for documentation, PAR forms and other items that are required for medical billing submission. That is one excellent reason to think about outsourcing your medical billing, as if they aren’t chasing paperwork, your staff can be helping your practice grow and thrive.

ER coding is another big factor in medical billing claims. Many times there are a large number of mistakes on this type of medical billings, and these types of procedures are among the most common that result in denials or rejections of medical billing claims due to the fact that ER involves picking out the diagnosis that validate the treatments and there is quite a lot of over and under coding associated with this type of medical billing.

Patient coding is a big issue when handling medical billing for hospital procedures. There is a lot of different and usually nearly illegible handwriting on the charts simply due to the fact people are stretched very thinly and while they are trying to do the most thorough job they can of patient diagnosis, they are also trying to do it accurately and quickly. This can lead to skipped procedure coding and some seriously messy handwriting.

Your medical billing partner has years of experience dealing with the above situations and knows what to look for in nearly all medical coding and billing issues. Think about outsourcing your medical billing to a partner that has the knowledge to research and investigate your claims, make them complete and get your practice reimbursed quickly!

View all Articles by: Melissa Clark, CCS-P