Claim denials can be very inconvenient and can affect a practice’s ability to receive payments for services rendered. The key is to prevent claim denials before they even occur. To prevent claim denials, it is important to first understand the common reasons for them.

Filing Claims Too Late

Claims must generally be filed within 2-3 months of services being rendered so that your practice can be paid. Delayed claim filing can be the result of your staff being unorganized or overburdened. Unless you have an efficient technological and operational system that allows claims to be filed quickly and efficiently, you can’t submit claims on time and that can be hazardous for your practice.

Professional medical billing and coding companies can help you with claims processing as well as tracking payments and resubmissions with highly trained and experienced staff who is well-versed in the art and science of coding and billing.

Duplicate Claims

Duplicate claims may result in a claim denial. This can happen if there is no streamlined process for claim filing. Having a system in place can help to avoid this common error.

Information Missing in Claims

Missing or incorrect patient information can be the result of a patient error or an administrative error. Such claims are likely to be denied. It is important to always re-check claims before submission to save time and money later.

Inaccurate Coding

The volume of codes can get confusing for your staff that already has their hands full. High quality medical billing software and trained personnel can ensure correct coding and is possible if you outsource your coding and billing to professional medical billing and coding companies.

Inability to Identify Medical Necessity

Insurance companies need proof of medical necessity for some treatments. Not providing supporting documentation may result in claims denials. Integrating billing software with patient EHRs can take care of this aspect.

To learn more about how you can benefit from a professional medical billing company, call one of the best medical billing companies in Los Angeles, Medical Practice Management Resources (MedPMR) at 951-757-2056.

With over three decades of experience, Medical Practice Management Resources takes care of all your medical billing needs. From claim submission, follow-up and denial management to payment posting, the focus is to get you paid accurately, on-time in an efficient manner. MedPMR combines consultancy and financial expertise to deliver consistent value to clients. As a medical billing company, we ensure all claim submissions are accurate before submitting them to maximize revenue and minimize denials.