Watch for bad billing practices due to COVID fallout

June 11, 2020

The following is a column from Vachette CEO Mick Raich:

Lately, we have found several clients with issues surrounding claims submission. These issues include duplicate billing, failed submissions to clearinghouses and unworked front-end edit reports. This is leaving many providers wanting in a time where every penny is needed to keep the doors open. 

Why is this happening at this time? It is likely this is caused due to the changes at some billing companies during the COVID-19 quarantine. Many insurance companies have large offshore facilities that were closed for a month. These employees were connected and worked from home and did their best, but it is likely these issues are caused due to a lack of oversight.

Working from home offers some advantages but it also has disadvantages, the big one being a lack of synergy. Being able to talk to someone face to face about an issue helps them understand the gravity of the situation. 

We are just beginning to see the fallout from all the changes due to the restrictions from the COVID-19 crisis. It is likely we will see many more going forward.   

Who's reviewing revenue strategy with you at this time?

Are you billing all the correct CPT codes? You’d be surprised at what you might be missing. We will review your Fee Schedule/Charge Master at no cost.

That’s right. For free.

Share This