Taurus-Partners - For Outsource Medical Billing, Medical Coding Solution Sevices

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Medical Billing Coding Errors To Avoid
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According to an estimate, doctors in US are
losing approx 125 billion due to poor Medical
Billing.

• Medical care providers are offering the best
  cutting-edge care for their patients. Howbeit,
  for successfully endowing the medical practices
  requires medical billing. In todays ergonomic
  medical industry, business issues are rising that
  are concerned with the medical billing coding.

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Following are the most common errors in medical
billing

• Upcoding This happens when billing codes are
  changed to symbolize more severe treatment or
  diagnosis. This causes medical bills to inflate.
  Upcoding happens when patient treatments are
  coded for a name-brand medication or a regular
  visit to the doctor is coded as inpatient care.
• Unbundling It occurs when medical charges that
  can be bundled jointly are listed separately.
  This makes the medical bill to increase as every
  treatment is billed separately. Examples are when
  medical tests should be treated under same code
  are billed individually.

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• Balance billing It occurs for the leftover
  balance after insurance companies settled the
  medical bills with the hospital or care provider.
  Care should be taken whether all the hospital
  charges are covered under the policy or not.
• Duplicate billing It occurs due to services or
  procedures billed multiple times. The most common
  example is when doctors associate staff bills
  for the same service or procedure for a couple of
  times.

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• Lack of medical requirements If the hospital or
  care provider is not able to offer coder with
  information about the diagnosis, then wrong codes
  may lead to higher medical bills.
• Differing treatment codes If medical coder
  upcodes the diagnosis and leaving treatment
  codes, the insurance company will reject the
  claim due to mismatch between treatment
  diagnosis codes. Especial care should be taken
  while coding for both diagnoses treatments.

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