Reducing Your Rejections

Rejection hurts. Rejected medical billing claims really hurt. They take time away from your staff because the reason must be found for the rejection, the files must be pulled, the billing must be looked at and the claim must be re-submitted to the carrier. All of this takes valuable time away from your practice and has your staff chasing paperwork when they should be servicing your patients and helping your practice grow. Not to mention, you’re still not getting reimbursed for services performed until that claim is re-submitted, accepted and paid.

That’s where the idea for outsourcing your medical billing becomes very appealing. Your medical billing partner will not only submit your claims electronically, just by having a service that can submit your properly coded claims via EMS, your rejection rates will only be about 1%-2%.

Another fabulous fact about outsourcing your medical billing is that your staff won’t be responsible for the paper chase on claims any longer. Your medical billing partner will handle your medical billing claims from original submission to re-imbursement for you, and in the event of a rejection of claim, your medical billing partner will file the necessary appeals to get your claim handled by the carrier.

Additionally, your medical billing partner stays up to date on the latest changes in the medical billing industry and can often consult and inform you on the coming changes so you can anticipate any changes you need to make regarding forms or that your staff needs to know regarding claims forms. Outsourcing will save you and your staff a lot of time, money and grief.

View all Articles by: Melissa Clark, CCS-P