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Clients Have Questions About Their Billing

By Al Backyin


The healthcare industry is talking about coding in ICD-10 right now. It is a tough topic to talk about since it is so new. Most physicians and healthcare providers do not understand how ICD-10 works. It is complicated for people that know and understand ICD-9 and it becomes even more complicated when talking about ICD-10. It is a situation in which many people are asking questions. If you have a medical billing company and are outsourcing your work, how should you address clients that call you and say, "Why doesn't this particular code work?" This is a common question that is asked by both experts and non-experts alike.

It seems as though ICD-10 is complicated. Most coders today are still trying to figure out the longer codes. There are over 60,000 of them. It is not easy to find the correct code all of the time. Therefore, it is causing a problem in the healthcare industry right now. If you cannot get paid on your claims, then the hospital, treatment center or other type of practice cannot collect money. If not money is coming in, then nothing is happening in the long term of things. It is a hard situation that is going on for the most part.

Clients often have questions about the changes with ICD-10. In order to make it easier for them to understand, it is important to have a small pamphlet ready to go that you can send to a client that is asking questions about this type of coding. Clients will often address you with their own questions and have you talking about your work with them. Most clients today will tell you that they are outsourced their billing to you because their own in house billers are getting low revenues on their claims. The #1 reason why a medical practice would outsource their claims is if they are getting low reimbursements on their claims. Most doctor's report losing 20% to over 30% of their claims each year.

Medical billing and coding is a tough industry. Most people do not have enough experience to get their claims paid. It is not easy to get paid on claims with insurance companies today. Everything has to be filled out perfectly when it comes to getting claims from insurance companies. Insurance companies have gotten a lot tougher in 2016. They are asking for everything to be mostly perfect.

Billing is a complex topic to talk about. You may not know how to answer all of your client's questions. However, trying to answer a question is always a good way of ensuring your clients that you know what you are talking about? It is always a good idea to move things along in a professional way. Clients often stick with billing companies that are helpful and easy to talk to. Most medical billers see good reason to explain the process to their clients. The more peace that you have with your clients, the better.




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