Common Incorrect Payment Reasons
There are two main reasons insurance claims are paid incorrectly:
The wrong codes may pertain to a service the patient never received or the codes could have been duplicated. According to the American Medical Association, one in five medical claims submitted to health insurance companies are processed inaccurately. That number is far too high when providers depend on that money to keep their businesses going. Luckily, there’s technology available that helps ensure clean claims.
BillPro New York Medicaid software exists to ease the billing process. It allows providers to submit claims in a timely and accurate manner with proper coding. BillPro even tracks payments, so you know which claims have been reimbursed and which need follow ups. Rather than attempting to bill manually, it’s important that companies make the switch to an automated billing system to ensure accurate, clean claims and, in turn, receive reimbursements faster.
How to Handle Incorrectly Paid Claims
Receiving an incorrectly paid claim is frustrating, and rightfully so. Although it will take some time to receive proper reimbursement, it’s important to contact the insurance company quickly. The faster the problem is addressed, the faster you’ll have the right amount of money in your pocket. Follow these tips to dispute your billing errors:
Prevent Future Incorrect Payments
To prevent future wrong claim payments, NEMT providers should avoid manual billing. Commit to BillPro software and all the billing will automatically (and correctly) be done for you. BillPro is loaded with features that streamline the billing process like: