Planning your 2022 Strategy to Generate More Revenue
The years 2020
and 2021 were beyond imagination for the healthcare industry. Nothing could
have prepared them for the huge hit to the economy due to the COVID-19 pandemic. With the start of a
new year, here is a chance for medical billing providers to rethink and improve
on their strategies for better revenue.
With the
constant changes and the recent pandemic, the healthcare system always provides
new challenges to patients and providers. Here are some tips to help you plan
your strategy to generate more revenue in 2022.
Build a Strong Team
If you’re
hiring, select the right people! The staff should be able to run the office
while taking care of the patients. Your company should also be able to communicate
well and maintain a good and stress-free working culture for the staff.
Training staff is also essential. e.g., A training about the major change in
2021 about replacing Medicare physician fee schedule. It will be changing fee
schedules and reimbursements in the future.
Maintain a Simple Collection Process
While the
pandemic and the lockdown have brought in a shift to telephonic or virtual
discussions, it has become more critical to maintain an easy process for you
and your patients. Let’s start by checking the below points –
Make sure to
inform patients about what they can expect and make them aware of their
responsibilities in terms of paperwork and payments, especially when the rules
change. You may also provide them with informative pamphlets or helpful
information on your website.
Gather the
correct patient information. Also, update and verify changes in the address or
contact information of a patient.
Your staff
needs to be trained to answer patient queries about co-pay, and patients also
need to be reminded why it is important. Patients also need to be informed
about which payment options are acceptable and if payment plans are available.
You can also stand out by giving them various channels to communicate with you.
Collect your
payments upfront to avoid the burden of paperwork and reminders later. Keep a
thorough check on the overdue bills and send the letters on time in case of
reminder letters.
Handle Claims properly
Quite a few
claims are denied because of errors or non-adherence to the new updates. Only
with correct medical billing and coding
and adherence to the guidelines given by insurance companies; claims can go
through without hassles. With the rejection and re-submission of claims, it can
take a long time for providers to receive the payment for their services. Keep
a check on these below common errors to avoid denials and increase your revenue
–
Provide correct
patient/provider/insurance details like name, policy number, address, date of
birth, contact information, electronic payer ID, etc.
Duplicate
billing should not happen. Verify if a case has already been claimed correctly.
Providers need
to check each detail and follow up on each claim filed.
Rejected claims
are the ones that haven’t been processed because of errors, and these can be
corrected and re-submitted. Denied claims are the ones that the insurance
companies have deemed unpayable because of a contract violation or some notable
errors. Rejected claims must be kept track of and re-submitted to get the
payments in time. Understand the reasons for the denials and be aware not to
repeat them.
Reduce Billing and Coding Errors
While the
medical billing industry has shifted to ICD-10 from ICD-9, ICD-11 may soon
come into use from January 2022. The transition to ICD-10 brought in more than
140,000 new codes and procedures, so will the next transition. New codes have
and will be added in 2022 for procedures and tests of detecting or treating
COVID-19. Hence, all providers will need to be updated and train their staff
accordingly.
Different
procedures are explained using ICD-1—CM, HCPCS Level II, or CPT classification
systems. Upcoding means adding or exchanging codes for costly procedures, and
Undercoding means omitting or exchanging codes for not very costly procedures;
these factors can also affect the claims.
Providers also
need to use the correct modifiers as it plays a crucial role in getting a full
or reduced reimbursement or even denial.
Improve
Track the
accounts receivable that are pending to get a better collection. Track each
figure quarterly and compare it with the last year's numbers for timely
analysis of new procedures.
Also, keep
track of problematic accounts for potential challenges in the future. For
example, late payments, frequent changes in contact details, or frequent
declined payments are some of the very common giveaways for such problematic
accounts.
2022 will bring
in increased automation that can save your time with online scheduling or
automated appointment reminders. Also, there will be an increase in the use of
Artificial Intelligence which will help increase the productivity of
professionals.
Keeping updated
with all the new rules and policies can help you significantly improve your
revenue.
Outsourcing
All these
struggles can be easily managed by outsourcing
medical billing and coding services. But how?
●
These companies are aware of all the current trends, guidelines,
or billing and coding standards required to be met in the billing industry.
They will adhere to each and save your money and time with successful claims.
●
They have dedicated specialists with the expertise to take care
of the correct submission and re-submission in cases of denied claims. Also,
they take lesser time, and the process is handled quicker than providers.
●
When the billing troubles have been handed over, you can get
sufficient time to focus on your patients.
24/7 Medical Billing Services can help simplify the whole
process, ensure accuracy, and dedicate their team of experts to generate more
revenue for you in 2022.
About 24/7 Medical Billing Services:
We are a medical billing company that offers ‘24/7
Medical Billing Services’ and support physicians, hospitals, medical
institutions and group practices with our end to end medical billing solutions.
We help you earn more revenue with our quick and affordable services. Our
customized Revenue Cycle Management (RCM) solutions allow physicians to attract
additional revenue and reduce administrative burden or losses.
Contact:
24/7 Medical Billing Services
Tel: +1 888-502-0537
Email: info@247medicalbillingservices.com
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