What Clean Claim Rate Should a Dermatology Billing Partner Actually Guarantee You?

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Choosing a dermatology billing partner based only on a promised clean claim rate can be misleading. A billing company may tell you that it maintains a 95%, 97%, or even 99% clean claim rate. But before accepting that number, you need to know how the rate is measured, what claims are included, and whether those clean claims are actually being paid correctly . For dermatology practices, this matters because a claim can pass an initial billing check and still face problems related to medical necessity, modifiers, procedure coding, payer policies, or underpayment. A clean claim rate should therefore be viewed as one part of the revenue cycle, not the entire performance picture. What Clean Claim Rate Should a Dermatology Billing Partner Guarantee? A reasonable contract target is 97% or higher , provided the billing partner clearly defines the metric and measures it consistently at the payer level. The percentage itself, however, is only part of the agreement. A dermatology practice should a...
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MBC: Best-in-Class Behavioral Health Billing Company

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Behavioral health billing is quite challenging as various factors affect the billing process. The length of the session, the approach to therapy, and the willingness of the patient to partake make it far more difficult to standardize treatment and billing. Moreover, the manner in which insurance carriers look at behavioral health is noticeably unlike the way they look at more traditional medical practices. For example, insurance carriers determine how long treatments are allowed to take and how many sessions can take place each day, making it challenging for behavioral health practitioners to balance effective billing with adequate patient treatment. In such challenging billing conditions, behavioral health practitioners can benefit from assistance from the medical billing company. Medical Billers and Coders (MBC) is a best-in-class behavioral health billing company providing complete behavioral health services. With our help, you can focus only on patient care while we deal with government and private payers along with their constantly changing billing guidelines and reimbursement policies.

What Makes MBC a Best-in-Class Behavioral Health Billing Company?

Verifying Patient Demographics

We cross-check patient demographics and insurance information submitted by behavioral health practices. Our team cross-checks patient demographics like name, date of birth, and address, along with insurance information. Inaccurate patient and insurance information is the prime reason for claim rejections. Rejected claims are claims with inaccuracies that are stuck in billing software and can’t reach to payers’ system unless they are corrected. Verifying patient demographics ensures timely payments and acts as a base for benefits verification & prior authorization activities. Throughout the billing process, our team ensures that data is transferred through secured channels and complies with HIPAA standards.

To know more about the Best-in-Class Behavioral Health Billing Company click here: http://bit.ly/3Sac0P5 Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

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