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  • Added for You - Medical Billing - The Weak Links

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    st businesses, when a mistake is made, it can be corrected quickly and no harm done. But in medical billing, a mistake means a claim that goes out with the wrong or incomplete information. This results in the claim being denied. The claim the
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    They say that any organization, project, idea, or anything is only as strong as its weakest link. That is no more true than in the world of medical billing. The problem is, medical billing has so many weak links in its structure that it is a miracle that anything at all gets done. In this article, we take a look at just a few of these potential disaster areas.

    The biggest weak link in medical billing is the system itself. Oh, you can make all the arguments you want about how they're doing the best that they can with a system that was doomed to fail from the start but it doesn't change the fact that the medical billing process is a nightmare to begin with.

    Let's start with the billers. Because of all the regulations, a ton of knowledge is needed in order to bill a claim correctly. The truth is, there's not really a lot of training for medical billing personnel. Most of it is on the job training. As a result, a lot of mistakes are made. Now, in most businesses, when a mistake is made, it can be corrected quickly and no harm done. But in medical billing, a mistake means a claim that goes out with the wrong or incomplete information. This results in the claim being denied. The claim the

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    iracle that anything at all gets done. In this article, we take a look at just a few of these potential disaster areas.

    The biggest weak link in medical billing is the system itself. Oh, you can make all the arguments you want about how they're doing the best that they can with a system that was doomed to fail from the start but it doesn't change the fact that the medical billing process is a nightmare to begin with.

    Let's start with the billers. Because of all the regulations, a ton of knowledge is needed in order to bill a claim correctly. The truth is, there's not really a lot of training for medical billing personnel. Most of it is on the job training. As a result, a lot of mistakes are made. Now, in most businesses, when a mistake is made, it can be corrected quickly and no harm done. But in medical billing, a mistake means a claim that goes out with the wrong or incomplete information. This results in the claim being denied. The claim the

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    they're doing the best that they can with a system that was doomed to fail from the start but it doesn't change the fact that the medical billing process is a nightmare to begin with.

    Let's start with the billers. Because of all the regulations, a ton of knowledge is needed in order to bill a claim correctly. The truth is, there's not really a lot of training for medical billing personnel. Most of it is on the job training. As a result, a lot of mistakes are made. Now, in most businesses, when a mistake is made, it can be corrected quickly and no harm done. But in medical billing, a mistake means a claim that goes out with the wrong or incomplete information. This results in the claim being denied. The claim the

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    ations, a ton of knowledge is needed in order to bill a claim correctly. The truth is, there's not really a lot of training for medical billing personnel. Most of it is on the job training. As a result, a lot of mistakes are made. Now, in most businesses, when a mistake is made, it can be corrected quickly and no harm done. But in medical billing, a mistake means a claim that goes out with the wrong or incomplete information. This results in the claim being denied. The claim the
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    st businesses, when a mistake is made, it can be corrected quickly and no harm done. But in medical billing, a mistake means a claim that goes out with the wrong or incomplete information. This results in the claim being denied. The claim then has to be corrected and resubmitted in order to be paid. While there are no hard and fast statistics on the number of claims that are billed incorrectly, it is estimated that it is somewhere in the area of about 10%. That means, theoretically speaking, each day the workload increases by 10% because of claims that have to be resubmitted. This explains why there is such a backlog on claims that need to be paid. It's a never-ending cycle, right out of the gate, that's never going to get any better.

    Then there is the inefficiency of the people on the receiving end of these claims. Because the largest claim processors in the United States are from government agencies, these people are not really given the most incentive to do a fast job. So the claim processing process itself, by design, is very slow. This only compounds the problem. But the worst part of it is, the claims that have to be resubmitted are given the lowest priority. This makes it even more

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