Importance of Successful Medical Billing Charge Entry
Posted by Shrikant Guthe on January 25th, 2021
The Medical Billing Charge Entry Process is an essential part of Medical Billing Process.It determines the amount of reimbursement that the provider will receive from the insurance payer. A trained, experienced individual must execute this process, and the charges from the coded documents must be entered correctly. If the charges are not correct, or if any part of the form has errors, the entire process will likely have to start over.
It's an intricate process that requires a high degree of training and quite a bit of experience.
Medical Billing Charge Entry is the first step in the Medical Billing Services. It begins with filing claims using Medical Charge Entry information provided to patients and creating bills. It's done electronically to shorten the revenue cycle.
Patient Demographics and Medical codes applied to charts are appropriately verified. Every claim is confirmed to check: DOS, POS, Provider Info, Units, Modifiers, CPT code, Facility billed from, and Referring Doctor, to reduce the chance of claim rejection.
Claims are also submitted to clearinghouses to make sure that complete accuracy is maintained. CMS 1500 forms are also generated for Government Healthcare providers.
Spin The Wheel, Win a Prize!
There's an enduring television game show- watched worldwide- that involves a giant spinning wheel. The wheel has 28 sections, the contestant spins the wheel, and whatever section ends up on the pointer, that's the prize (or penalty) the player receives with the appropriate sound effect (beep!), of course.
One can easily imagine a scenario where a wheel like this is used for revolving claim denials because of missing or incorrect information on a typical insurance claim form. Get a code wrong? Beep! Leave a field blank? Beep! Use the wrong modifier? Beep!
This is not a fun game.
To avoid any delay in payments, minimize the instances of denied and rejected claims, and increase the amount of income recovered in the billing process, EVERYTHING needs to be done right! And there's a lot to do:
Charge Entry in Medical Billing consists of Medical Data Entry:
From the above list, you can see that the process is long, complicated, and requires training and experience to execute. Do you have the time and resources to train one of your existing staff? And continue that training so they can keep current on the changing rules and regulations? This is just one of the reasons that outsourcing Medical Billing Charge Entry makes a lot of sense.
If you could hire a team of professionals with an outstanding track record in Charge Entry Services, and do this at a fraction of the cost as your in-house process, wouldn't you?!?!
This is where Outsourcing comes in to save the day.
The world of Business Process Outsource has exploded over the last two decades. What was once just a call center to handle customer inquiries or field orders is now a sophisticated, comprehensive industry that offers an abundance of different services to almost all business sectors, including healthcare.
Most of BPO's training and experience matches and often exceeds that of onshore counterparts. Language proficiency is first-rate, with many multi-lingual operatives. And for a Successful Medical Billing Charge Entry, use a BPO to supply:
If you've done Charge Entry or even watched someone else do it, you know that it's a complicated, time-consuming job. The various codes and modifiers seem to offer an infinite number of possibilities for error, and each keystroke is crucial.
To hire an experienced specialist for your office rarely makes sense. That's why the offshore markets exist. And Outsourcing solutions can save you 40% or more of the cost of hiring an in-house specialist. And they can scale the team to suit your needs, so there's even more economies to be had.
Don't spin that wheel and take a chance! Find someone to trust!
For more than 20 years, Rely Services has been a leader in Business Process Outsourcing. Their innovations have become industry standards. Their accuracy is the envy of competitors. Their standards are second to none.
Rely Services can offer a complete, no-commitment assessment of your current services free. Let them show you how their team can make your business run smoother and Increase Revenue. Get in touch with Rely Services today for a no-obligation assessment.
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About the AuthorShrikant Guthe
Joined: May 20th, 2020
Articles Posted: 12
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