Contrary to common belief, Otolaryngology Practices is more than just an everyday, casual practice. It is a lot more than simple ENT procedures, i.e. ‘ear, nose and throat’ practices. An independent otolaryngology practitioner would have to consider several things in the current fast-paced world.
Most independent Otolaryngology practices and hospitals are trying to streamline the complexities related to coding management and accurate medical billing, which sometimes leads to overlooking of the crucial operations. The frequent alterations that are being done in ICD 10, thanks to the Affordable Healthcare Act, are also one of the significant reasons why it is essential to give utmost care to the changes brought onto billing procedures and coding requirements.
It is of great importance that the staff carefully takes care of the everyday processes that are undertaken at the Otolaryngology clinic regularly. The collections, the billing process as well as the constantly changing scenario can sometimes get quite tedious. Other than this, there are also few other issues that are commonly faced by Otolaryngology practices.
Some of the issues that are commonly faced by Otolaryngology Practices include:
- Outdated procedures
If one’s team is not up to date with the latest technological advances for clinical coding optimization, they fail to have the best level of specificity. It would also mean that they don’t have any grasp on medical terminology for techniques and diagnoses as and how are required by the latest ICD 10 changes. This would make it difficult for them to meet the expected levels to maintain claims and collections. It can lead to denied or rejected claims which lead to loss of income.
- Bad medical reports
In certain circumstances, the problem mainly is with the medical services department’s inability to carry out the processes and diagnoses given to patients besides the medical information. Sometimes, several physicians miss out essential details which can assist the staff in coding more accurately. The issues tend to arise when the medical professionals are too busy to communicate effectively with the billing staff. It can lead to increase of rejected or denied claims.
- The codes are outdated
The three primary medical codes are mainly updated annually as coders need to stay updated on the latest regulations to use them properly. One needs to train their team and help them get support through trusted healthcare companies. When the staff is trained and prepared, they can stay updated and handle the different challenges to keep the healthcare practice running.
It is pretty similar to overcoming or up coding. It is way beyond fraudulent and damaging. Unbundling is said to report falsely to increase the payout from the payer by handling various processes added in one overall code.
This is precisely why it is highly advisable to outsource your medical otolaryngology billing to a professional and skilled team of billers and coders. 24/7 Medical Billing Services holds the experience of over a decade in Revenue Cycle Management (RCM) and Medical Billing services. By outsourcing your otolaryngology billing services, one can reduce the percentage of rejected claims and denied claims.
Outsourcing Otolaryngology medical billing can help an organization overcome the above-listed issues. We at 24/7 Medical Billing Services would make sure that:
- Correct medical provider information is being submitted
- The patient information is correct
- Treatment and diagnosis codes match correctly
- They conduct workflow analysis that includes billing/expenses, Accounts Receivable (AR) process, sales prospecting, supply costs, staffing, utilization review, and denials
- Make sure that error-free diagnosis and point-of-service code is correctly entered into medical billing software
- Reduction of chances of denied and/or rejected claims
The ongoing ICD-10 changes have been quite intimidating and intense for a few practices, proving that it is a good decision for many Otolaryngologists to outsource their billing. To know more about how 24/7 Medical Billing Services operate and what they can provide for your Otolaryngology practice, contact +1 888-502-0537.