Billing Buddies ®

The financial well-being of any medical clinic depends on billing and claim processing. Unfortunately, chiropractic offices have an especially difficult time settling accounts receivable.

Statistics show that chiropractors lose up to 20 percent of their yearly revenue due to bad debts and pending account receivables. While some chiropractors believe this is just the nature of their business and have resigned themselves to these losses, there are ways to combat these issues.

Chiropractors perform vital health care services and should be compensated fairly for these services. Implementing the following practices will ensure that this happens.

1. Clean up claims. While getting claims out fast is important, making sure they are clean is even more important. If you have to resubmit a claim any effort to get it out quickly will have been wasted.
2. Focus of verification. The verification process should begin as soon as an appointment is made. Make sure insurance information and eligibility are always high priorities.
3. Examine every denied claim. By keeping track of why claims are denied you can begin to see patterns. This will allow you to make any changes to future claims which will decrease their likelihood of being denied.
4. Check code accuracy. Routinely scrub codes before a claim is submitted.
5. File claims more often. The longer an account receivable is in your system, the less likely it is that it will be paid. Therefore, the more frequently you file claims, the more likely it is that these claims will be paid.
6. Keep good records. Every time a claim is touched, make sure to document what occurred and what needs to happen next. If clear and complete notes are not taken, each time the claim comes up for review you will have to begin the process over again which wastes precious time and resources.
7. Expedite claim inquiries. If an insurance company requests additional documentation relating to things like coding or compliance issues, make sure these questions are answered in a timely manner. Again, the longer it takes to answer these questions, the longer it takes to get paid.
8. Know when enough is enough. Last, but certainly not least, if your chiropractic office is overwhelmed with billing issues, know when it is time to outsource these tasks. No matter what reason you have for keeping your billing in-house, if you aren’t getting paid, it’s time to make a change.

Need billing services or consulting?  Call or text Billing Buddies at 612-432-2366.  Or, email Bonnie J. Flom at bonnie@billingbuddies.com.   We have 24 years of medical billing experience.

Medical billing is a tough job. And while medical billers do not treat patients, their performance is directly tied to the success of any medical clinic.

So why is medical billing such a tough job? To begin with, the rules related to medical billing are constantly changing. New coding systems and compliance regulations can lead to delayed or denied claims that significantly reduce an office’s cash flow.

The number of things that can go wrong when it comes to billing is another never-ending battle. Even if a billing staff is able to keep up with new rules and regulations, there are plenty of other issues to deal with. These include things late payments and rejected claims.

All of these things would be a challenge for a huge medical billing staff but the fact is that most medical offices are not able to hire the amount of staff it would take to handle all of these issues. This leads to another issue: staff turnover. Medical billers are under a great deal of stress and this leads to low morale and high turnover. Hiring new staff is not only expensive and time-consuming, suddenly you have put another task on your medical billing staff’s to-do list: training.

While an under-performing medical billing staff can be detrimental to a clinic’s cash flow, it also can mean the loss of current patients and the inability to attract new ones. Look at reviews of medical clinics on the internet and you are likely to read statements along the lines of: “Love my doctor, nurses were great but the billing department was the worst.”

The fact is, many patients will decide not to come back to a particular clinic solely because of their experience with the billing staff. Further, these patients certainly won’t be referring family and friends.

With the rise in social media and online reviews, one patient disgruntled with your billing practices or staff can be broadcast all over the internet. The cost of these reviews cannot be underestimated. Statistics show that 90 percent of people read online reviews and 88 percent say they trust online reviews as much as a personal recommendation.

Staff turnover can have huge financial repercussions for a medical clinic. Unfortunately, it can be difficult to hire and retain quality medical billers. In light of the difficulties related to medical billing, it may be in a medical practice’s best interest to outsource these duties. Only then can a medical clinic be sure that the health of their clinic is not being compromised due to an overworked, understaffed billing department.

Need billing services or consulting?  Call or text Billing Buddies at 612-432-2366.  Or, email Bonnie J. Flom at bonnie@billingbuddies.com.  We have 24 years of medical billing experience.