By Lou Albins If you have been coding for the last decade, you most likely love your job. However, the new ICD-10 has a lot of people conf...

Is Medical Billing Changing Around The World?

By Lou Albins


If you have been coding for the last decade, you most likely love your job. However, the new ICD-10 has a lot of people confused and scratching their heads on what to do. Many medical billers are fearing losing their jobs to experienced ICD-10 coders. Yes, the codes were released on October 1, 2016 and they are not easy to learn. Did you know that most people will not be successful with these new codes for several different reasons? For starters, the new codes require you to know a lot more information. Gone are the days in which you can look at yourself and feel like you are being taken advantage of.

You have to look at yourself and ask important questions. Should you go back to school in order to learn more about ICD-10? I think that you should if you get a lot of kicked back claims from the insurance companies. Today, insurance companies are not playing around. If they see an error in your submission, they will not pay anything on it. They will ask you to correct the error or simply deny your claim. It is important to learn more about HIPPA and what is required of you. Get your ICD-10 certification. Become more familiar with different types of medical billing software. This time around, there are no rooms for mistakes. You cannot keep building errors.

For starters, ICD-10 has longer codes. There are around 100,000 codes that one must become familiar with. If this sounds like a lot of codes, it is. It is important to document everything that happens in your medical billing practice. If you are a doctor, hiring or outsourcing your biller will make a lot of sense. Many doctors try to do their own billing and end up making huge administrative errors. Most doctors today are losing around 20% to 30% of their revenue because of incorrect billing. Over time, you will be able to see that billing does get stronger. The strength of a medical billing company depends on its success billing.

Many treatment centers today are being audited because the insurance companies are trying to understand what they are doing exactly. It is never easy to watch insurance companies winning every time. It is not really a war between healthcare providers and insurance companies. Once you learn that you can get paid every single time, you will see things differently. The reason why you are not getting paid on a lot of your claims is because you are inputting incorrect data.

Today, medical billers are being asked serious questions by insurance companies. Most insurance companies are asking the question, "Is this medically necessary?" This is a word that is commonly used now and it should be second nature to you. Gone are the days that you can send an insurance company multiple claims for blood work. If the patient really didn't need that many blood draws, then the insurance company will most likely deny your claim.




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