Top Challenges Associated with Emergency Room Medical Billing
Post date: Jul 15, 2020 7:36:53 AM
Emergency room services are beneficial for the medical environment that necessitates immediate action such as an injury or unexpected illness. As medical billing service providers are aware of , emergency care coding & billing can be a significant challenge without comprehensive medical charting and proper eligibility verification. Let’s discuss the top challenges associated with emergency room medical billing.
Challenges in Emergency Room Medical Billing
Insufficient/Loss of Physician Documentation or Dissimilarity in Internal EHR
Missing medical charts or fragmentary documentation leads to medicolegal risks and revenue loss. Use a robust system for observing unprocessed charts that should provide alerts for providers needs to be established. This provides a chance to improve care, decrease risks, and increase revenue by concentrating on documentation practices.
A gap in the insurance eligibility verification
Insurance eligibility verification services ensure & collect accurate insurance information. The revised and updated patient data helps for error-free claim submission and reduce the claim denials rate. For better revenue cycle solution, ensure below a listed checklist of information to be verified for a smooth claim processing
- Insurance name
- Phone number
- Claims address
- Insurance ID and group number
- Name of insured, as it isn't always the patient
- Relationship of the insured to the patient
- Effective date of the policy
- End date for the policy
- Ensure whether coverage is currently active
- Ensure whether the insurance covers the procedure, diagnosis, or services to be rendered, etc.
Patients Who Leave Without Treatment (LWT)
To handle this issue, you need to continually communicate with your patients in regards to delays in medicines and delivering normal reassessment. Moreover, start treatment when the patient shows symptoms of a specific infection. Additionally, shift wise observing LWT rates will assist you in resolving such sorts of issues.
Why Outsource Emergency Room Billing?
Emergency physician medical billing is the processing of claims for different medical procedures performed by the physician to insurance agencies. Any small blunder in medical bills and insurance claims will lead to claim denials that could affect the healthcare practice cash flow. Therefore it is optimal to outsource emergency room billing processes to leading medical billing companies, who will keep your medical billing away from undue issues related to Emergency Room Billing Services.
About e-care India
e-care India is an experienced and HIPAA compliant medical billing service provider, offering end to end medical billing services that help you to control costs, increase cash flow and reduce compliance risks. We provide end to end medical billing services such as charge entry, payment posting, insurance eligibility, revenue cycle management, account receivable management solutions, denial management, etc. To know more about our services visit our website.