Due to inefficiency and lack of knowledge towards medical billing and coding, practices are closing down in many parts of the country. If your in-house billing team isn’t fulfilling their duties and are not able to handle billing and coding, you can’t rely on them. However, today with many options outsource and partnering billing agencies, you can increase your income cycle of your practice and grow your business. So be ready with denial management solutions for your billing and prevent different denials in future.

The most common reason for denials in many medical billing and coding practice is duplicate claims. It happened when biller assumes unpaid claims in their system not been processed. It causes the billers to file the claim denials again and rising denial management in billing service. When you get an unpaid claim, investigate the claim first, rather than move to process a new claim. Also check the reason of rejection.

Sometimes, reimbursements can get bundled into another and cause payment issues for the services you performed. A common denial happen when you file a claim for surgery and if not documented properly by the surgery department then both payments get bundled into another. For this, you should correct the coding and the denial claims. The modifier procedure will display that there was a separate procedure to bypass the rule and ensure that you are reimbursed for your services.

Another common fact for denial claim is late submission. Each payer will have a submission deadline for accepting and processing claims. This deadline varies according to payers between 90 days to one year from the day of providing the service. If you miss the deadline the claims get denial. To avoid this, you have to be updated and follow the rejected claims and submit them before deadline. You should concentrate on a schedule of submitting the claims and on time too.

Billing errors can happen with anyone. A claim can also be denial because the service you billed is not a necessity by the insurance payer. Other reason could be not checking the coverage limit and the eligibility. As billing errors are common but can be tricky. You should use your experience and expertise to do the right thing. You should resolve the issue first with medical billing company. This will regulate your cash flow and also decrease the number of denial claims.