How does your practice compare with this checklist?
Importance of Top-notch Encounter Documentation to Your Practice
If the process to create documentation is not efficient, complete, or accurate for that encounter, patient care, productivity, and profitability can all suffer.
When medical insurance claims are submitted with incorrect or incomplete information and coding, at best it will simply
As if the problem of delayed revenue and the extra expense of resubmitting claims is not bad enough on its own, too many errors may trigger an audit from an insurance company, and the potential of needing to repay the company. The best way to prevent an audit is making sure the medical billing and coding
Impact on Patient Care
Incomplete and/or inaccurate billing doesn’t impact only the providers and their practice – it can have a negative impact on their patients’ ability to receive the proper treatment for medical services and treatments, including specialists or rehabilitative treatments. It can also impact their ability to be reimbursed for their expenses.
Fraud Investigations and Legal Actions
Audits from insurance companies can be stressful, but nothing compared to fraud investigations and legal actions. Even when errors are simply errors – not intentional – investigations may still be initiated when there is even a suspicion of fraud. A fraud investigation, and the possible legal action
How to Avoid Problems
The first line of defense against delayed revenue, insurance audits, fraud investigations, and legal actions is to have experienced, properly trained, and quality professionals in place. Regular training of all staff on billing and coding regulations and practices as well as solid policies and procedures for the practice is essential.