Physicians Prefer Hiring Certified Billers and Coders to Avoid Various Coding Errors and Increase Revenue at Their Clinic

Physicians Prefer Hiring Certified Billers and Coders to Avoid
Various Coding Errors and Increase Revenue at Their Clinic!

Presented By
Medical Billers and Coders

Providers and patients both are acutely aware that medical coding errors are the core
of many billing issues. Medical coding and billing is becoming increasingly
complex, and at times larger hospitals require more than 200 people involved to
generate a single medical bill.
As certified coders provide proof of coding knowledge and competence; healthcare
facilities to increase their revenue, prefer to hire a certified coder to avoid
unnecessary coding errors.

Industry Standards State
A survey result depicted certified billers and coders earn
approximately 20% more than their non certified counterparts

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Medical Coding Facts
 There are errors in almost 40% of claim statements sent between providers and
payers
 From the processed claims which are returned by insurance payer
approximately 20% have errors
 Nearly 15% of all the claims processed have fraud, negligence and abuse

These errors drastically impact revenue hence physicians are increasingly seeking
certified professionals with a complete understanding of industry-standard codes
and practices.




Frequent Medical Coding Errors to be avoided?


Modifiers used incorrectly- this may occur due to wrong information,
misinterpretation, common error, or maybe even to just simply to get paid.
However eventually it is detrimental to the revenue of a clinic to error in this
significant area of medical coding. Modifiers include CPT and HCPCS modifiers
and their usage requires an understanding of the global surgical package and
National Correct Coding Initiative (NCCI) edits.



Errors while picking the procedure code- reason for this can be inaccurate
information on encounter form, incomplete information, confusion, electronic
format breakdown. As there are greater than 75000 CPT codes and various rules,
errors could be caused due to incomplete knowledge while gathering information,
comments and notes from CPT books. Hence the medical coder must constantly
focus and update their knowledge.



Wrong use of CPT codes- common example of this is when practices believe
that they can charge a nurse visit (CPT code 99211) with an injection or for a
venipuncture. However services like allergy shot, venipuncture, etc should not be
billed as nurse visits. Hence it is a requisite for your coders to be well informed to
get usage of codes right.






Service and reason for service related wrongly- while CPT or HCPCS code
confirms the service, the reason for the service is confirmed through the diagnosis
code, but coders at times error when multiple unrelated services are rendered
resulting in claim rejection. Hence to avoid this error it is extremely important to be
able to properly link the right diagnostic code for services by medical coders.



Irregular updating of new coding rules- this is a costly mistake medical
practices and hospitals make in order to remain within their budget as it can result
in loss of revenue and significant compliance risk for practices.

Medical coders need to update their coding knowledge regularly through
certifications and varied books to avoid majority of the above and other coding
errors. Consequently coders with credentials like Certified Professional Coder
(CPC) improve their job opportunities with medical practices.




Physicians hence often favor credentialed billers and coders with verifiable skills
while hiring because a certification signifies the candidate is capable of 

Accurately reviewing patient records and assigning correct medical codes



Displays
awareness
of
healthcare
surgery, radiology, anesthesia, etc



Has right knowledge of medical coding rules, procedures, compliance and
payment



Can handle issues like denials, medically necessary procedures and
bundling



Sound knowledge of important medical terminology, along with anatomy and
physiology



services

such

as


Medical Coders future and certification
Certification can lead to expanded career opportunities, and more medical billers and
coders are getting certified in their relevant field. Currently only half of the medical
billers and coders are certified however considering the increasing competition and
coding regulations, certification are expected to become a necessity by 2020 with
employers expecting applicants with certifications before hiring.
To be ready to appropriately handle the future competition in medical billing and
coding jobs, it is a necessity to be updated with the ongoing changes, one way is to
secure a certification in your field. Nationally-recognized certification test and
securing certification in CCS or CPC can be a good start for medical billers and
coders who want to improve their future job prospects.
Medicalbillersandcoder.com largest consortium of expert billers and coders offers
wide opportunity to medical billers and coders across all US States. Our job portal
and regular billing & coding updates and newsletters provide a vast pool of
opportunities and knowledge to billers and coders about industry updates and
certifications; also continuously updating about the ICD-10 updates.




About Medical Billers and Coders
Medical Billers and Coders is the largest consortium of Medical Billers and
Coders in the united States. Our aim is to help the physician community to
reach the right expertise at the right location at the right time.

Thank You!
We support your Medical Billing Needs in All 50 states
CONNECT WITH US NOW!

888 357 3226 Toll Free

Physicians Prefer Hiring Certified Billers and Coders to Avoid Various Coding Errors and Increase Revenue at Their Clinic

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Physicians Prefer Hiring Certified Billers and Coders to Avoid Various Coding Errors and Increase Revenue at Their Clinic