Question

mesical billing. Can you make a summary one paragraph of this?

1/3 124 % Bedeviled Billing By Rebecca Jones Perhaps they call it medical "coding" for a reason, because for many doctors of chiropractic (DC), submitting an error-free, denial-proof claim form to an insurer remains an enigma Statistics on the total number of claims denied teaching bad information deliberately, but they are teaching bad information, and this is causing problems in the profession," she says. More often, it's the little things that bedevil the claims process. "A lot of claims are kipked back because the patient's insurance ID number has some num- bers transposed," says ACA's vice president, Tony Hamm, a Goldsboro, N.C., DC and past chairman of the ACA Coding and Reimburse- ment Committee. "Or a patient's name is mis- spelled. Or a member of the patient's family is actually the insured. You have to make sure that's all entered correctly. A lot of claims prob lems could be eliminated just by making sure you have a clean claim." Some other common errors include: SUPPLYING the wrong NPI (National Provider Identifler) number or putting it in the wrong place. "Each individual doctor has an NPI, and if you're incorporated or in a group, that entity also has an NPI, and they go in different places every year by insurers because of incorrect cod- ing or other billing errors are not available, but report from the Mary- land Insurance Adminis- tration put the share of claims denied in that state in 2009 at 14.9 percent. The number of "clean claims"-those without billing and coding errors- that were denied was under 1 percent, however. "Most people can fill out a claim form and get paid," says Susan McClel- land, a Medicare coding and documentation expert in Christiansburg, Va. "But

Answer 1

In this article, Rebecca Jones talks about the different types of errors and pay claims. Every year a lot of claims was denied due to billing and coding error. According to Maryland Insurance report in 2009, a total of 14.9% claim were denied. Patients filling out the form does not mean that they get paid. Medical coding expert does not professionalize in filling out the claim form. Assumption of bad information, misspelling, wrong ID, wrong patient's name will deny the claim process. Wrong NPI number, Improper spacing, incorrect date, wrong modifier, improper diagnosis are common errors. Sometimes claim may be lost due to technical issues. Improper diagnosis code, procedural and HCPCS code also results in bedevil of the claim.