Should You Switch Billing Companies if Your Family Practice Denial Backlog Keeps Growing?

-
Image
A growing denial backlog is more than a billing department problem. For a Family Practice, it can mean delayed payments, increasing A/R, more staff time spent on rework, and revenue that becomes harder to recover as claims age. But a large denial backlog does not automatically mean you should switch billing companies. The better question is: Is your current billing company actually fixing the causes of denials, or is it simply working through the same problems every month? That distinction matters. The American Academy of Family Physicians (AAFP) recommends tracking denial rate alongside days in A/R and adjusted collection rate because these measures provide a clearer picture of revenue cycle performance. A practice can have acceptable overall A/R while still carrying a significant amount of older receivables. When Does a Denial Backlog Become a Serious Problem? Not every denial needs to be treated as a crisis. Some claims may require additional documentation, payer review, corrected c...
Post a Comment

General Surgery Medical Billing: Challenges with Billing coverage

-

 

generalsurgerymedicalbillingchallengeswithbillingcoverage.jpg

General surgery medical billing involves a variety of procedures. Procedures under the general surgery category must be performed by a physician who is fully credentialed and qualified to perform these surgeries. Medical billing for general surgery practices requires a certain level of expertise and skill.

One of the biggest challenges general surgery practitioners are facing is concerned with patient care; instead, many of today’s care providers are concerned with the business side of health care, especially concerning medical billing and coding.

General Surgery Medical Billing Challenges with Billing Coverage

Billing Errors

It is estimated that up to 78% of medical bills contain errors. Insurance companies are very strict on correct medical billing and coding practices, and even the smallest mistake can cause an insurance company to reject a medical billing claim.

Most general surgery professionals are worried about patient care. Read more regarding general surgery medical billing and its challenges: https://bit.ly/3RlUFRs. also, you can get in touch with us at info@medicalbillersandcoders.com or call us at 888-357-3226.

Location: United States

Comments

Post a Comment

Popular posts from this blog

Is Your Neurology Billing Outsourcing Helping or Hurting You at Year-End?

-
Image
  As year-end approaches, neurology practices face a crucial decision: Is your billing outsourcing truly improving your financial performance, or silently affecting your revenue? Neurology billing is complex due to time-based coding, modifier usage, high documentation requirements, frequent audits, and prior authorization challenges. If your billing partner lacks neurology-specific expertise, it may lead to claim denials, revenue loss, and compliance risks. Signs Your Neurology Billing Outsourcing Is Helping If your billing partner is performing well, you will see: • Reduced denial rates for neurology codes (EEG, EMG, Botox, Nerve Conduction Studies) • Faster reimbursements and fewer delays from payers • Active recovery of old AR beyond 60, 90, or 120+ days • Accurate CPT, ICD-10, and modifier usage for neurology procedures • Clear billing reports, denial analysis, and revenue insights • Compliance with Medicare, commercial payers, and documentation standards Warning ...
Read more

How Hidden OB-GYN Billing Errors Are Quietly Costing You Millions Each Year

-
Image
  The Silent Revenue Leak in OB-GYN Practices Most OB-GYN practices don’t realize they’re bleeding money. Not in dramatic, headline-grabbing ways, but quietly, steadily, month after month. The phones are ringing, appointment slots are full, deliveries are happening, and yet the numbers never seem to match the effort. Sound familiar? This is often the first sign of hidden OB-GYN billing errors working behind the scenes. These errors don’t announce themselves. They don’t crash your systems or send angry alerts. Instead, they slip through claims, hide in coding nuances, and quietly shave thousands—or millions—off your annual revenue. OB-GYN billing is uniquely complex compared to other specialties. Between global maternity packages, split billing scenarios, high-risk pregnancy coding, and ever-changing payer rules, the margin for error is enormous. A single missed modifier or incorrectly bundled service might seem insignificant on its own. But when repeated across hundreds or thousand...
Read more

The #1 Reason ASCs Lose Revenue from Medicare Claims (And How to Fix It)

-
Image
Ambulatory Surgical Centers don’t lose Medicare revenue because of low case volume. They lose it because of one recurring, preventable failure: Incorrect coding and documentation for Medicare’s ASC-specific payment rules. This single issue triggers denials, underpayments, delayed reimbursement, and permanent write-offs — especially at year-end. If your ASC’s Medicare revenue feels unpredictable, this is why. The #1 Revenue Killer: Not Billing Medicare the “ASC Way” Medicare does not treat ASCs like hospitals or physician offices. Yet many ASCs still: Use hospital-style assumptions Miss ASC-only payment rules Underestimate Medicare’s bundling logic The result? Claims get paid less than expected — or not at all. Where Medicare ASC Claims Go Wrong 1. Incorrect CPT eligibility for ASC payment Not every CPT code is payable in an ASC setting under Medicare. Common mistakes: Billing procedures not on Medicare’s ASC approved list Assuming “covered in hospital” = “covered in ASC” Missing annual...
Read more