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Monday, March 7, 2016

By Sally Walls


Many medical billers today that understand ICD-10 are enjoying the new benefits of a raise. Physicians and healthcare providers are seeing that most billers don't do their job correctly because they are not fully trained in this new coding system. We are living in weird times in the medical community for several different reasons. For starters, healthcare as a whole has changed drastically over the last several years. People are often wondering what the new system is going to draw. Many doctors are already leaving their practices and instead working for hospitals. It is scary to leave your practice, but many doctors feel that they have no other choice.

If you don't know how to bill correctly today, you will most likely not be able to keep the doors of your medical practice open. Treatment centers, rehabs and rehabilitation centers are seeing a lot of audits as well. It is not uncommon for a billing establishment to get audited for one reason or another. It is hard to imagine things going wrong. You can easily look at your life and wonder what your next move is going to be. In reality, your life may indeed be cut out for something new.

Often it is because insurance companies see things differently. People will often say that there is trouble happening along the way of billing. Billing is perhaps one of the most complex things in healthcare right now. The reason is mainly due to the fact that most people did not prepare for ICD-10. Instead, people thought it was something that anyone could do. Even though the medical billing organization told people that these codes would be coming out, many people thought that they would just deal with them when they got released. This was the worst possible decision to make. The reason why these codes are difficult to learn is because there are over 100,000 of them to describe a medical illness.

In order to show insurance companies that you know what you are doing, it is important to have an excellent history with them. A lot of rejected claims shows and insurance company that you most likely don't know medical billing as well as you should. This raises a red flag to them every single time that you submit a claim. It is not uncommon to have several audits in a given year. It simply means that the insurance company wants to make sure that you are running everything by the book. They want to see lots of accuracy and very few errors. It shows them that you really know your stuff. The problem today is that most billers do not understand ICD-10 entirely and are making a lot of mistakes.

A lot of doctors today are puzzled by the new billing system and are seeing less returns because of it. It is scary for many doctors because they see as ICD-10 as an unfair system that benefits the insurance companies. This is understandable since most billers are not doing their job correctly. People are starting to learn more about ICD-10 now. When it first got released, a lot of hospitals and healthcare providers witnessed a slowdown in payments. Their claims often go rejected even after 3 or 10 times. It is not uncommon for this to happen if you are using the wrong codes.




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