BC Advantage - 2021 Issue 3

The Pain of an Unfaithful Billing Partner

In the vast majority of business and industry, the entity itself takes full responsibility for invoicing (billing) its customers or clients. Hospital-based physician practices are uniquely different.  While you "produce" the work product that generates income, you are heavily reliant on someone outside your practice for:Capturing and processing the entirety of your work productAccurate and appropriate procedure identificationAccurate and appropriate diagnosis codingCreation and filing of timely clean claimsFollow-up of denied or ignored claimsTimely filing of secondary claimsBalance billing of remaining amounts to patientsInteraction with insurers and patients to clarify or resolve concernsDetailed performance results of the underlying...

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