The Do’s and Don’ts for Urology billing and coding

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• The Dos and Donts for Urology billing and
  coding

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The Dos and Donts for Urology billing and coding
Urology medical billing and coding is a precise
work undertaking which should be handled by a
team of professionals. If a urology facility
fails to meet required regulations by all the
concerned parties, you might face a negative
income cycle. If you look at the history of
urology medical billing and coding, one can
rectify a certain pattern of Dos and Donts.
This not only keeps the coders attentive in their
work, but also ensures that maximum clean claims
are submitted. Here are the Dos and Donts for
urology billing and coding The Dos Ensure
Patient Information As with the claims
submission, patient verification information is
critical for your reimbursement. Ensure to get
the patients insurance data, verification such
as date of birth and Social Security number,
along with home address for demography purpose,
and any special notes from the doctor after the
visit. Precise information of the patient will
allow for urology claims to get approved faster
and reimbursed quicker.
Medical Billing Services in Oregon
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The Dos and Donts for Urology billing and coding
Confirm Provider Information After ensuring the
patient information, its vital to verify that
information as well. When filing urology claim,
make sure to provide your urology facilities
correct address and contact information, along
with the identification numbers and the EDI
processing numbers. Using a Clearinghouse To
increase the medical billing and coding
efficiency avoid errors within the claims
processing, use the services of a clearinghouse.
A resourceful clearinghouse will check your
urology claims to ensure that each claim is free
of error before final submission. Even if an
error is found, the clearinghouse alerts the
billing professional for a quick fix. This way it
lessens the headache down the road for
inaccurately filed or coded claims. The
Donts Resubmitting error free denied claims If a
urology claim has been denied, there must have
been a good reason for that. Verify that the
claim is error free before your tm submits its
automatically. If the in-house team has put
incorrect diagnosis codes then rectify the
mistake and submit again. Check with the
attending urologist as to what diagnosis codes
should be assigned within the claim and then
proceed with the with resubmission process.
Medical Billing Services in Oregon
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The Dos and Donts for Urology billing and coding
Double billing Under some specific insurance
coverage provisions visits are not able to be
submitted for claims twice. Remember that
Medicare has very clear guidelines about billing
and coding for postoperative visits. Forgetting
the Clearinghouse As said in the Dos section as
well, the purpose of a clearinghouse is to make
sure that each urology claim submitted is error
free. A properly designed and defined
clearinghouse identifies errors, eliminating the
risk claim denial. If you dont have a
clearinghouse, chances of you submitting a clear
claim shrinks. Always remember that submission
and re submission takes extra time and resources
that leads to a deficit in both time and money of
your urology practice.
Medical Billing Services in Oregon