Medicare, Home Health Medical Billing Errors and How to Spot Them
While
it is true that everyone makes mistakes from time to time, errors in home
health care and Medicare home health
billing can cost you money that is not owed for the services that were provided.
You pour over every bill you receive, from the cable bill to the dinner bill at
your local restaurant. The same should be true for your medical bills to make
sure you are paying what is due and no more.
The
hard part will come if you have to try to prove the home health billing or Medicare hospice
billing was incorrect and that you owe less than the bill you received indicates.
It is well worth the effort and hassle to go through the complicated process of
challenging an incorrect bill.
Common Home Health Care Billing
Mistakes
The
first step in combating medical billing mistakes is to be able to recognize
them on the bills and statements. The processes and systems for healthcare revenue
cycle management can be complicated and confusing.
- Duplicate Charges
- Itemized
billing information will allow you to carefully check and more easily spot
multiple charges for the same procedure or service.
- Tests, Procedures That
Never Happened
- If
you had a procedure scheduled but was then canceled for whatever reason, make
sure that the procedure does not still show up on your bill.
- Wrong Patient Information
- Incorrect
insurance and other patient information can lead to claim resolution delays and
rejections. Double and triple check all of your personal patient information on
all invoices received.
- Upcoding Charges
- Whether
by accident or on purpose, charging for a higher severity or involved treatment
than that was administered for the same diagnosis is illegal. A close
examination of your billing invoice will catch this fraudulent action.
- Separation of Individual
Charges
- When
services and procedures are bundled together, the overall cost totals are
cheaper. It is a tricky practice that the average patient would never be able
to catch and correct.
- Itemized billing information will allow you to carefully check and more easily spot multiple charges for the same procedure or service.
- If you had a procedure scheduled but was then canceled for whatever reason, make sure that the procedure does not still show up on your bill.
- Incorrect insurance and other patient information can lead to claim resolution delays and rejections. Double and triple check all of your personal patient information on all invoices received.
- Whether by accident or on purpose, charging for a higher severity or involved treatment than that was administered for the same diagnosis is illegal. A close examination of your billing invoice will catch this fraudulent action.
- When services and procedures are bundled together, the overall cost totals are cheaper. It is a tricky practice that the average patient would never be able to catch and correct.
Correcting Medical Billing Mistakes
Especially
in patients who require a lot of home health care or hospice services, it can
be tough to identify and know what to do in cases of medical billing errors and
inconsistencies. Some helpful tips to root out mistakes and get them corrected
include:
- Organize Medical Billing
Paperwork
- Keep
bills and paperwork organized and up to date. Comprehensive records keeping can
be a crucial element when it comes to fighting medical billing expenses.
- Research, Compare, and Contrast
- It
is a time-consuming and tiresome task, but doing your due diligence to research
can save you a lot of money from mistakes made in medical billing. Go through
your employer's insurance benefits personnel or your insurance agent to help
gather and analyze the data and information.
- Keep bills and paperwork organized and up to date. Comprehensive records keeping can be a crucial element when it comes to fighting medical billing expenses.
- It is a time-consuming and tiresome task, but doing your due diligence to research can save you a lot of money from mistakes made in medical billing. Go through your employer's insurance benefits personnel or your insurance agent to help gather and analyze the data and information.
Why Dominion Revenue?
If you are getting nowhere with your
insurance company and cannot get answers from your work's insurance department,
the industry specialists at Dominion Revenue can help. We provide
cost-effective solutions to medical billing issues and problems.
Contact
Dominion Revenue Today
For complete information on the process
of medical billing, and to address any questions regarding medical billing
mistakes, contact the medical billing professionals at Dominion Revenue today.
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