How To Handle Your ICD-10 Coding

By Vallery Puttings


A lot of medical facilities are being audited by insurance companies. This is a fear that a lot of companies are having today for various reasons. Fear often happens when you least expect. You need to always look at your own situation and ask yourself what matters the most. What is it that you are trying to accomplish? Life can be challenging at times and new things begin to happen.

Medical billing services are there to help hospitals and healthcare providers to grow. They are there to guide us along the way of building a practice that is lucrative. ICD-10 coders today need to be certified and understand HIPPA laws. Your coder should know something about anatomy and physiology. Your reimbursements will depend on it. Many doctors today fear insurance companies because they look at them as being the bad guy. Your staff will often tell you that it's the insurance company's fault that your reimbursement didn't come through on time. However, this is often not the case.

Make sure that you understand more about how these audits work. It is important to keep up to date records and to have everything in its place. Many insurance companies are wanting to see the progress of your client. If you own or manage a treatment center, the insurance company may ask a question such as: how often are your records updated? What happens after you bill someone? How often do you submit your claims? These questions and many more are asked.

Many doctors are asking themselves if they should keep their own in house billing team or outsource. Many physicians are finding that outsourcing is actually cheaper and easier. They don't have to invest in any new software and hire expensive staff. Many ICD-10 coders are getting paid over $70,000 a year depending on their experience. This is tough because a lot of people wonder what will happen to their business if they cannot turn decent profits. You may have to ask yourself what is most important for you.

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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