How Common are Medical Billing Issues?

The accuracy of a medical claim is something that is crucial, but it’s estimated that more that 80% of medical billing claims contain an error. That’s quite the chunk of claims, which makes it extremely common. In this estimated that 3 out of 4 claims contain errors. This could be human error, but there’s also a little bit of blame that can be put on the complex system for billing in the U.S. healthcare system. One of the most common billing errors is upcoding, which is done to increase the reimbursement to the provider. There’s also mis-coding, which can be something as simple as coding an outpatient treatment as if it were an inpatient treatment. This can be done accidentally, but will come across to the payor as the provider trying to get paid more than is due for treating the patient.

The easiest way to avoid any errors or issues with your medical billing is coming to Gables Medical Billing’s team of medical billing specialists. Our team is trained to review your claims, identify any issues and resolve them in order to put the claim through adjudication. Our team handles claim submissions, follow-ups, appeals, and works to get you the best reimbursement possible from payors.