Uploaded on May 11, 2020
It is very important that chiropractic offices comply with Medicare and private insur-er requirements. From coding and coverage to documentation of services, there are several factors that need to consider if providers want to get paid on time. Improper claim submission needs to be avoided at any cost because if the claims don’t meet Medicare requirements, CMS will continue denying them. This will resulted in a significant loss of time and money that no chiropractic office would want to happen.
Three Common Mistakes that Chiropractic Offices make when Submitting Claims
THREE COMMON MISTAKES THAT CHIROPRACTIC
OFFICES MAKE WHEN SUBMITTING CLAIMS
It is very important that chiropractic offices comply with Medicare and
private insurer requirements. From coding and coverage to
documentation of services, there are several factors that need to
consider if providers want to get paid on time.
Improper claim submission needs to be avoided at any cost because if
the claims don’t meet Medicare requirements, CMS will continue denying
them. This will resulted in a significant loss of time and money that no
chiropractic office would want to happen.
http://www.247medicalbillingservices.com
THREE COMMON MISTAKES THAT CHIROPRACTIC
OFFICES MAKE WHEN SUBMITTING CLAIMS
These mistakes result in claims either getting rejected or denied:
1. If there are mistakes in paperwork or if billers have filled wrong
information in claims, then it will lead to denials. Billers cannot afford
to make silly mistakes such as mentioning wrong ID number or any
other technical error.
2. Second common mistake is - not checking claims for coding errors.
If a billing department is using paper billing, relying on templates
and not checking the claims before submission, denials are bound
to happen. Even though electronic billing has become a standard
process, there are still many chiropractic offices relying on older
billing methods.
3. If claims don’t have sufficient documentation, payment can get
delayed or rejected. There are several rules for coverage by
insurance companies and it is important that claims are establishing
the necessity of patient care.
http://www.247medicalbillingservices.com
THREE COMMON MISTAKES THAT CHIROPRACTIC
OFFICES MAKE WHEN SUBMITTING CLAIMS
There are several other reasons why chiropractic claims get denied. For
instance, if billers are not using modifiers correctly, it will lead to denials.
Improper use of E/M codes is also a reason for claim denials.
Today, there are several ways in which chiropractic offices can
enhance reimbursement. For instance, they can participate in federal
programs that have been designed for encouraging the provision of
quality, cost-effective care. Even their participation in MIPS (Merit-based
Incentive System) can help them boost revenue.
Accuracy in coding is also a requisite that needs to be fulfilled. Only
when coders are performing error-free ICD-10 coding, they can ensure
that claims are being reported with increased specificity that is required
for measuring the performance of the healthcare provider. It is important
that the chiropractic office is hiring a team of experienced coders and
billers for this task.
http://www.247medicalbillingservices.com
THREE COMMON MISTAKES THAT CHIROPRACTIC
OFFICES MAKE WHEN SUBMITTING CLAIMS
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