In everyday operations of radiology practice, Patients are seen, super bills are created and revenue is generated and for various reasons some claims are denied as well Unfortunately, few denied claims are never revised, collected, or resubmitted and therefore income is lost for eternity.

As per the MGMA (Medical Group Management Association) report, 90% of denials can be preventable. To prevent the radiology claim denials, you have to follow the denial management strategy that incorporates the best practices all through the patient’s visit to ensure exact and reasonable claims are created to maximize the billing collections. Let us discuss how to increase quality and reimbursement for radiology claims.

Perform Medical Coding Audits

Medical coding audits help healthcare organizations to find out the errors more habitually, which implies you can recover more revenue and correct the blunders which bring revenue loss. It helps medical billing experts to stay up to date with the latest regulatory necessities and assist you to evade common coding mistakes. That’s why medical coding audits play a major role in the billing process. Certified medical billers and coders are exceptionally able to perform audits. They ensure that each service is coded accurately and reviewed the reimbursement environment for a better revenue cycle.

Use Proper Modifiers

Inaccurate modifier utilization is one of the most common reasons for reimbursement loss in radiology practices. It occurs in two cases such as

• either an inappropriate modifier being appended to claim

• No modifiers being used when needed.

List some modifiers that are used in the radiology coding and billing

• 26- Professional component

• TC – Technical component

• 76 - Same date of service by the same physician

• 77 - Same date of service by the different physician

• LT Left side and RT Right side to indicate laterality

Use Proper Documentation

Equipped with as much data about the patient as it is conceivable to gather, the radiologist must make certain to remember the pertinent data for the documentation of the procedure. This makes it accessible to coders and billers for appropriate claim preparation, and also on the occasion, the payer demands extra data or reviews the case. Proper documentation is important to maximizing reimbursement and avoiding denials.

Our article finishes up, how to increase reimbursement for radiology claims. These tips help you to reduce compliance risks and increase reimbursement in this changing medical service economy.

About e-care India

Medical billing used to be simple. You would submit a claim and afterward you were paid – generally in full. Our medical billing company has formed into a profession requiring proficient skills at each phase of the billing process. We have trained and experienced medical billing specialists, denial claims specialists who are imperative to the achievement of the billing process. Each phase needs evaluation. For that, we have experts on each phase of the billing process. To know more about our team and services log on to our website: https://www.ecareindia.com/radiology-medical-billing.html. Choose us as your billing partner to reduce coding errors and thus improve your practice revenue with appropriate reimbursement.