Ortho medical billing services are essential for the ongoing success of any practice. However, administrative tasks and billing are typically the first to be sidelined or overlooked when a practice becomes too busy or overwhelmed to stay on top of these important tasks. Working with a healthcare consultant for Ortho practices can help to keep everyone on track. It is a good idea to outsource a third-party billing review of your practice every two to three years to improve account management and spot any issues that need to be addressed. When you work with MD Pro Solutions, we can offer a free billing review for Orthopedic clinics to help you take control over your billing and administrative departments to protect the future of your business.
Top Reasons Why Claims Are Rejected
Have you experienced a lot of delays in payment, denials of claims, or outright rejections? The way that your billing department handles claims submissions can have a lot to do with these negative results. One of the areas that we focus on as a healthcare consultant for Ortho practices, ENT specialists, and plastic surgery clinics, is to go over coding and billing methods and records to ensure that you are doing everything you can to do it right. The healthcare industry has undergone significant changes in recent years, particularly in the area of medical billing and claims submissions. Your best bet is to request an audit of your billing department annually to prevent falling too far behind if there are issues occurring with accounting.
Studies show that the top reasons why claims are rejected include:
- waiting too long to file the claim (physicians have 60-90 days to file a claim to insurance companies, and the clock starts ticking on the day of the appointment)
- coding errors or bad coding practices (ICD-10 changes aside, there are a lot of common procedures that could cause your claims to be rejected)
- incorrect patient information (misspellings, wrong birthdays, missing subscriber numbers, and other small mistakes can result in a rejected claim)
- authorization issues (failing to preauthorize with the insurance company, scheduling an appointment or treatment beyond authorization dates)
- primary care physician referrals (as a specialist, Ortho practices and clinics need to ensure that a referral has been obtained before providing services)
Why Billing Reviews Matter
There are many benefits associated with getting a free billing review for Orthopedic clinics and practices. Industry experts reveal that the idea time frame to get a review of your entire billing operation is every two to three years. External reviews can be extremely valuable, offering insight into the success (and failure) of billing and collections. In a way, these Ortho medical billing services reviews act as a sort of insurance policy, helping you to address small issues before they become big and expensive problems. In more than 95 percent of the clients that we have served, our team has ben able to uncover lost revenue and opportunities. When you treat patients and provide quality medical services, you should be paid for the work that you do. Improper coding, errors in claims submissions, and other issues might be costing your practice thousands of dollars per provider each year.
We start each new working relationship by providing a comprehensive billing review. This helps us to determine which areas need the most support and uncover ways to help our clients take advantage of all the benefits associated with their current billing service and improve account management across the board. Our team will suggest the latest tools and discuss ways that you can improve the way that your medical billing team works, offering opportunities for training, education, and support. We will make sure that solid medical billing practices are in place to ensure improved patient services and more advanced account receivables management. Overall, these changes will help to streamline the administrative process, reducing the amount of time spent on collecting, processing, and worrying about cash flow for your Ortho medical billing services. Ongoing support and future reviews will help you stay on track as your business grows and evolves.
A Customer-Focused Approach
At MD Pro Solutions, we believe that the success of our clients is a direct reflection of the services that we provide. This is why, as a healthcare consultant for Ortho practices, we put a lot of emphasis on training, education, and ongoing support. A free billing review for Orthopedic clinics is just the beginning. We offer methods that are proven to improve communication and medical billing skills while reducing stress and eliminating time-wasting activities. Our team will help you and your staff to incorporate the latest tools, software, and techniques designed specifically to enhance your efforts and boost the abilities of your current medical billing program. To learn more about our Ortho medical billing services, give us a call toll-free at 1-800-853-8110 and find out what we can do for you!