Avoid Denials For Your Pathology Billing With These Proven Methodologies

1

Avoid Denials for your Pathology Billing
with these Proven Methodologies
https//www.247medicalbillingservices.com
1 888-502-0537
2
Avoid Denials for your Pathology Billing with
these Proven Methodologies
The old saying "the best defense is a good
offense" has been applied in a variety of fields.
To achieve the maximum first pass acceptance
ratio, you must be cautious when filing insurance
claims. Even if you believe that everything was
submitted correctly, there are a plethora of
reasons for insurance claims to be denied. Lack
of specificity in code usage, incorrect
application of modifiers, and a variety of other
factors may result in a lower percentage but
outweigh the total charges submitted. According
to the American Medical Association, insurers
deny between 1.38 percent and 5.07 percent of
claims. Even the best-performing practitioners
have a 5 denial rate as per the Medical Group
Management Association. Failure to work on
insurer denials results in revenue loss for your
medical practice. Though it's easy to point the
finger at someone else, it's critical for a
pathologist to develop and optimize proven
techniques for getting claims paid.
https//www.247medicalbillingservices.com
1 888-502-0537
3
Avoid Denials for your Pathology Billing with
these Proven Methodologies
Lets discuss some of the proven methodologies
that can help you to avoid denials in your
pathology billing Determine the root causes of
pathology billing denials According to a 2020
Change Healthcare study, the majority of claim
denials for the fourth consecutive year were due
to issues with patient eligibility or
registration for the provided services. Denials
for patients who have used up their maximum
available benefits, issues with benefits
coordination, and plan failure to cover the
service in question are all examples of this.
Examine the data for your pathologist's practice
claim denials to see where the majority of issues
arise. Many issues can be avoided by automating
processing in this area, especially when combined
with a robust staff education program.
https//www.247medicalbillingservices.com
1 888-502-0537
4
Avoid Denials for your Pathology Billing with
these Proven Methodologies
Begin with the biggest issue Stopping at just one
source of frequent claim denials in your practice
could have a significant impact on the revenue
cycle. After collecting information about the
root cause of submission denials, crunch the
numbers to determine which issue has the greatest
impact on practice revenue. You can use analytics
to identify denial trends by payer, procedure,
department, and provider. Invest your resources
in solutions that address the most significant
sources of revenue loss before addressing less
urgent pathology billing and coding issues. Use
technology to your advantage This type of
software can review claims and flag those that
are likely to be denied, allowing potential
issues to be addressed before sending the
reimbursement request. While implementing
high-tech tools has a cost, most pathology
practices that go this route find that they
significantly increase profits while decreasing
the resources dedicated to pathology billing and
claims.    
https//www.247medicalbillingservices.com
1 888-502-0537
5
Avoid Denials for your Pathology Billing with
these Proven Methodologies
Establish an appeals procedure In approximately
65 percent of cases, pathology billing providers
fail to appeal denied claims, effectively leaving
money on the table. Emphasize eligibility
verification It is also one of the most expensive
pathology billing denials because the insurance
company rejects the entire claim rather than just
one code. Staff members should be trained to
verify patient demographic and insurance
information at every visit, regardless of how
recently the person received care. Emphasize the
significance of gathering and verifying accurate
patient data. When in doubt about eligibility
based on patient-provided information, always
check with the insurance provider directly before
administering the treatment or service.
https//www.247medicalbillingservices.com
1 888-502-0537
6
Avoid Denials for your Pathology Billing with
these Proven Methodologies

• Conclusion
• Pathology claim denial is a major source of
  frustration for pathology billing staff and has a
  significant impact on your practice's cash flow.
  Make sure to respond to denials as soon as
  possible to determine what action is required,
  and always keep the patient's best interests in
  mind. Most importantly, do not allow denials to
  pile up. You can also get connected with the 24/7
  Medical Billing Services as your outsourced
  pathology billing partner to control the denials
  as and when they arise.

https//www.247medicalbillingservices.com
1 888-502-0537
7
Avoid Denials for your Pathology Billing with
these Proven Methodologies
About 24/7 Medical Billing Services 24/7
Medical Billing Services is the nations leading
medical billing service provider catering
services to more than 43 specialties across the
entire 50 states. You can rely on us for
end-to-end revenue cycle management. We guarantee
up to 10-20 increase in the revenue with cost
reduction of your practice for up to
50.  Media Contact Hari Sudan,  24/7 Medical
Billing Services, 16192 Coastal Hwy, Lewes, DE
19958 Tel [phone] Email -
info_at_247medicalbillingservices.com
https//www.247medicalbillingservices.com
1 888-502-0537