Tuesday, 26 January 2016

How To Work With ICD-10 And Still Earn More Profits

By Eddie Shiner


Licensed physicians and treatment providers are always looking for ways to make a profit. Most medical practices collect less than 70% of their claims to insurance companies. It is not uncommon for a doctor to bill an insurance company for $50.00 and get back $10.00. It takes a skill to get the insurance companies to agree that you deserve to get paid. Every treatment centers, rehab and hospital knows that the new ICD-10 codes are making it harder than ever to collect on a claim. Years ago, collecting on a claim was much easier. All that you had to do was submit some paperwork and the insurance company would send you a check.

The problem is not as bad as many people think it is. The reason for the slowdown of payments all has to do with understanding the ICD-10 requirements. It asks for more information such as how your patients are improving in their treatments with you. Insurance companies want to know why they should be paying you to begin with. Today, you need to have a good certified ICD-10 coder working for you. If you can't find one, then outsource your billing to a company that handles this. It is a wise choice if you are trying to earn more money for your practice. Doctors today are often only seeing 70% of their claims submitted to the insurance companies. Many insurance companies today are sending you a check for 50% less than you asked for. It is a tough time for doctors and anyone working in the healthcare industry.

Most people don't know that you need to learn 5 times as much information now than you did under ICD-9. You better believe that more study and experience is required. You need to document everything when you submit it to the insurance company. Insurance company's want to know why you are sending them a bill for a certain amount of money. Why should they pay you for the services that you performed? Was the service really necessary in the first place?

Learning how to work with the insurance companies and the medical billing company is what is going to see your success. Simply put, the medical codes are now longer. You need to invest in new software because of it. It actually may be cheaper to just let the medical billing companies do the tedious work for you. Doctors spend more time filling out paperwork than they do with their clients. This is always a tough battle and topic to talk about for licensed physicians.

Is insurance company's wrong for requiring more information? Would you willingly write a check to someone if you didn't really understand why they were sending you a bill in the first place? This is the stance of many insurance companies across the world. Insurance is now a tough industry to be associated with. It seems as though it is worth the money to hire a carried ICD-10 medical coder these days. It takes a lot knowledge and experience to deal with the new codes that are coming out. We will soon see the impact that these new codes will have. Right now they are having a negative impact on many treatment centers and hospitals around the world.




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