Tuesday, January 19, 2010
Why Are My Claims Being Rejected??
Everyone hates to log on their billing system and see rejected claims, or worse yet when they come in the mail. How do you prevent this?
Here are some of the most common mistakes we have come across:
1. Patient's insurance has lapsed or has been terminated. Being the first of the year it is very important to verify patient eligibility(before services are rendered)! This will save your practice a lot of time and money by making sure your patient has coverage, as well as, checking to see if the patient has a deductible, and if they have met it or not.
2. Patient's information is incorrect. Patient information should be updated at least once a year. If the information on the claim is incorrect they will reject it. It will save your practice time and money by not having to call the patient to get updated information (that is if you have the correct phone number).
3. No precertification or lapse in Authorization. Some claims will require this, and making sure that the information you have on file is current, is imperative. Insurance companies 99.9% of the time will not pay for claims that have a lapsed Auth number or were not precertified. This means your office will not get paid, from the insurance company, for services rendered.
4. No Referring Provider Listed. Make sure your patients have filled out this section of your patient information form. Most insurance companies require this information. Again, this will save your office time and money by not having to track it down later.
These are just a few of the common mistakes we come across. I hope this answers some questions you may have, as to why you are getting those pesky rejections. For more information on how to never deal with rejected claims again, give us a call at 800-556-7038.
Here are some of the most common mistakes we have come across:
1. Patient's insurance has lapsed or has been terminated. Being the first of the year it is very important to verify patient eligibility(before services are rendered)! This will save your practice a lot of time and money by making sure your patient has coverage, as well as, checking to see if the patient has a deductible, and if they have met it or not.
2. Patient's information is incorrect. Patient information should be updated at least once a year. If the information on the claim is incorrect they will reject it. It will save your practice time and money by not having to call the patient to get updated information (that is if you have the correct phone number).
3. No precertification or lapse in Authorization. Some claims will require this, and making sure that the information you have on file is current, is imperative. Insurance companies 99.9% of the time will not pay for claims that have a lapsed Auth number or were not precertified. This means your office will not get paid, from the insurance company, for services rendered.
4. No Referring Provider Listed. Make sure your patients have filled out this section of your patient information form. Most insurance companies require this information. Again, this will save your office time and money by not having to track it down later.
These are just a few of the common mistakes we come across. I hope this answers some questions you may have, as to why you are getting those pesky rejections. For more information on how to never deal with rejected claims again, give us a call at 800-556-7038.
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