Radiology billing has never been undemanding and requires a lot of toil. Claims denials and delays in claim submission are not only disappointing to the image center, they may also lead to potential delays in patient care and squandered physician hours which will indirectly affect the revenue flow of your end client. Minor coding or billing errors in radiology medical billing affects in processing the claims on time and in getting the reimbursement for the service rendered. Let’s discuss the consequence of radiology billing errors and how to avoid them.
Common Radiology Billing Errors
Overlooking Necessary Information In The Imaging Report
Imaging reports should contain the following information. Such as
Skipping any of these components, may lead to claims denial
Missing Documentation
Documentation is a basic thing to filled by both private and public radiology medical billing. Medical necessity is one of the main factors for radiology claims processing. During the claim processing, the payer requires clinical records that support medical necessity. Clinical records include the following reports
Lack Of Prior Authorization
As a rule health carrier requires prior authorization especially for advanced outpatient imaging procedures like CT scan, PET scan, MRA, MRI, nuclear cardiology services, etc. Before suggesting the imaging procedure, the provider advising the patient for one of these scans should ensure to get the prior authorization number from the payer by get the insurance eligibility verification don. If a prior authorization is not checked properly, it leads to claim rejection. Also, there are chances that the provider might miss to collect the patients responsibility for the services rendered if any. To ensure all due payments get reimbursedment, all the referenced necessities must be fulfilled duly before submitted the claims. .
Services Not Covered Or Coverage Is Terminated
Understanding the patient’s plan and the services you are rendering is significant. Since insurance policy and regulations can change, it’s essential to check eligibility each time the service is rendered. Ensure radiology service is covered by the patient’s insurance coverage to avoid claim denials.
About e-care India
e-care India is ISO certified and SSAE Type 2 certified medical billing company in India. We specialize in radiology medical billing and denial management. With20 years of experience in the medical billing and coding, We provide end to end revenue cycle management services like charge entry, payment posting, denial management, , Account receivables management, Insurance eligibility verification services, etc. Ecare’s experienced medical billing professional can handle all your billing needs efficiently and help maximize your revenue using their expertise in each specialty and the latest technology.. To know more about our medical billing and coding services, visit us at www
