Medical Billing for Type A Claims

Many times, one medical billing mistake with a Part A claim can cost thousands of dollars. Proper training can eliminate most of these errors. Consolidated medical billing should be engrained into the heads of your personnel. There are some basic tips you should follow when doing consolidated medical billing.

There are several medical billing charges that should be excluded when it is a hospital providing the service to the patient. The Centers for Medicare & Medicaid Services gives this list to exclude: computerized axial tomography scans, ambulatory surgery in the operating room, MRI, cardiac catheterizations, radiation therapy, angiography, emergency room services, venous and lymphatic procedures, and ambulance services related to these outpatient services.

Medicare part A services are very expensive. One night in the hospital can cost thousands of dollars. In medical billing you should always choose staff members who are competent and trustworthy to complete these types of claims. A simple mistake could make your hospital lose a lot of money.

An advantage of using an outside medical billing firm to take care of claims responsibilities is the reduction in errors. These companies have special computer software programs that automatically check claims before they are sent off to a payer. In addition to their error-checking software, they have highly skilled individuals who have been trained extensively in Type A claims processing. Medical billing companies can alleviate some of the stress associated with hiring reliable billing staff to handle your Part A claims.

Not only will medical billing companies help you with manpower, but they can also improve your bottom line. Less staff will be needed to take care of your claims. That means less salary money will need to be paid. Medical billing firms help you save money, and will improve Type A claim accuracy.

View all Articles by: Melissa Clark, CCS-P