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WHY IS PATIENT DEMOGRAPHICS CRUCIAL IN MEDICAL BILLING?

All medical facilities collect demographic details from patients, which are used for various purposes, including analytics. When it comes to claims submission and reimbursement from payors, the correctness and completeness of patient demographics details assume importance. Patient demographics entry is the basis of a claim.

Inaccurate demographics entry results in claim denials and delayed payments. Studies show that healthcare organizations lose about 7% of their annual collections on account of errors in demographic entry. The process of demographic entry should be a streamlined one with checks inbuilt to eliminate mistakes at the initial stages of the revenue cycle. Investing time in capturing accurate patient demographics is crucial to successful revenue cycle management. (more…)

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DERMATOLOGY CODING: AVOID COMMON ERRORS AND INCREASE YOUR REVENUE

Accurate medical coding is indispensable to successful revenue cycle management. Among specialties, dermatology coding and billing are intricate with unique aspects such as sizing wounds and lesions and many terms used. Dermatology coders must be able to distinguish between simple, intermediate and complex repairs. They must understand terms associated with sizing (length, depth, width, and circumference) and actions such as shaving, destruction, and performing biopsies.  (more…)

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HOW SUPERBILLS BENEFIT PATIENTS

A medical superbill or encounter form is the primary source of data for preparing claims, which may be submitted by the provider or the patient. The superbill contains the list of services provided to a patient. Along with the list of services, the superbill will show the costs and codes for each exam, treatment, or procedure. It will also contain information about the patient, provider, CPT codes, ICD-10 codes.

A superbill is not necessarily needed for preparing claims by the provider. However, a patient would require a superbill in case (i) the provider is not part of their insurance company’s provider panel, (ii) they are having a Health Savings Account (iii) they are utilizing out of network benefits and need to meet a deductible(s). In these cases, the superbill helps the patient prepare a claim and submit it directly to their insurance company. (more…)

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