{"id":4424,"date":"2019-04-29T22:38:53","date_gmt":"2019-04-29T22:38:53","guid":{"rendered":"https:\/\/medisysdata.com\/?p=4424"},"modified":"2022-10-19T22:29:58","modified_gmt":"2022-10-19T16:59:58","slug":"orthopedic-billing-denials-and-how-to-overcome-them","status":"publish","type":"post","link":"https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/","title":{"rendered":"Orthopedic billing denials and how to overcome them"},"content":{"rendered":"\r\n<p>Annually, the American Medical Association (AMA) comes out with new variations to the<a href=\"https:\/\/en.wikipedia.org\/wiki\/Current_Procedural_Terminology\" target=\"_blank\" rel=\"noopener\"> Current Procedural Terminology (CPT) code<\/a> set, and it\u2019s imperative to make sure your practice stays up-to-date on the latest coding updates. If have an in-house billing department then ensuring your billing and coding professionals educate themselves on the latest codes is essential. Keeping the billing personnel up-to-date on latest coding changes may require an investment. But it\u2019s worth it to make sure they\u2019re not becoming a liability by heaping up the claim denials file.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Denial Probers and How to overcome them<\/h2>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\">Verifying Patient Eligibility<\/h3>\r\n\r\n\r\n\r\n<p>The problem: The situation here is you won\u2019t aware that the patient was unqualified for the services you already provided, and now how to face a denial from the insurance company.<\/p>\r\n\r\n\r\n\r\n<p>Keep in mind that medical billing\u00a0insurance\u00a0claims often get denied because a patient\u2019s insurance doesn\u2019t cover the service you provided. Such encounters can happen if there have been policy updates to the patient\u2019s insurance plan or the coverage has expired.<\/p>\r\n\r\n\r\n\r\n<p>How to overcome it: To avoid such situation, the number one thing to do is verify insurance eligibility before treating a patient. Before you start giving healthcare services to the patient, it\u2019s important asking them to contact their insurer to check for any recent policy updates. Make the patient call their insurance company and ask for a reconsideration. Otherwise, the patient or the patient\u2019s employer could use their appeal rights.<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\">Avoid Duplicate Billing<\/h3>\r\n\r\n\r\n\r\n<p>The problem: One of your orthopedic medical billing insurance claim got denied due to a duplicate service. While a duplicate service response can happen for many reasons, one common error is billing and coding mistakes or your in-house billing team may have submitted a claim more than once.<\/p>\r\n\r\n\r\n\r\n<p>How to overcome it: Always review claims before submitting. Normally, insurers process the original claim and block successive ones. If your original claim has been administered, focus on recognizing and filling gaps within your billing team to avoid future mistakes. Otherwise, reach out to specialty<a href=\"https:\/\/www.medisysdata.com\/\" target=\"_blank\" rel=\"noopener\"> medical billing and coding organization<\/a> for a solution. Different payers have different guidelines for dealing with these situations, so your best people to work on those claim denials.<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\">Input Correct ICD Codes<\/h3>\r\n\r\n\r\n\r\n<p>The problem: Your claim got rejected as someone from your coding team entered an incorrect ICD-10 code. Is your staff entering code with insufficient specificity as ICD-10 codes used today are more intricate and allow for greater detail compared to ICD-9?<\/p>\r\n\r\n\r\n\r\n<p>How to overcome it: It\u2019s extremely important for doctors to document patient encounters as expansively as possible. Keep detailed patient records with all health data, such as accompanying conditions, to better inform the codes you use. If you have the documentation to support the codes in your claim, you\u2019ll be able to appeal a rejection.<\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>Annually, the American Medical Association (AMA) comes out with new variations to the Current Procedural Terminology (CPT) code set, and it\u2019s imperative to make sure your practice stays up-to-date on the latest coding updates. If have an in-house billing department then ensuring your billing and coding professionals educate themselves on the latest codes is essential. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":4757,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","footnotes":""},"categories":[31],"tags":[6,7,68,14],"class_list":["post-4424","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-orthopedic-medical-billing-services","tag-medical-billing-services","tag-medical-coding-services","tag-orthopedic-billing","tag-top-medical-billing-company"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.4 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Orthopedic billing denials and how to overcome them - Leading Medical Billing Outsourcing Services Company in the USA<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Orthopedic billing denials and how to overcome them\" \/>\n<meta property=\"og:description\" content=\"Annually, the American Medical Association (AMA) comes out with new variations to the Current Procedural Terminology (CPT) code set, and it\u2019s imperative to make sure your practice stays up-to-date on the latest coding updates. If have an in-house billing department then ensuring your billing and coding professionals educate themselves on the latest codes is essential. [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/\" \/>\n<meta property=\"og:site_name\" content=\"Leading Medical Billing Outsourcing Services Company in the USA\" \/>\n<meta property=\"article:published_time\" content=\"2019-04-29T22:38:53+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-10-19T16:59:58+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.medisysdata.com\/blog\/wp-content\/uploads\/2019\/04\/Blog_Orthopedic-billing-denials-and-how-to-overcome-them-1024x384-1-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"384\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"medisys\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"medisys\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Orthopedic billing denials and how to overcome them - Leading Medical Billing Outsourcing Services Company in the USA","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/","og_locale":"en_US","og_type":"article","og_title":"Orthopedic billing denials and how to overcome them","og_description":"Annually, the American Medical Association (AMA) comes out with new variations to the Current Procedural Terminology (CPT) code set, and it\u2019s imperative to make sure your practice stays up-to-date on the latest coding updates. If have an in-house billing department then ensuring your billing and coding professionals educate themselves on the latest codes is essential. [&hellip;]","og_url":"https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/","og_site_name":"Leading Medical Billing Outsourcing Services Company in the USA","article_published_time":"2019-04-29T22:38:53+00:00","article_modified_time":"2022-10-19T16:59:58+00:00","og_image":[{"width":1024,"height":384,"url":"https:\/\/www.medisysdata.com\/blog\/wp-content\/uploads\/2019\/04\/Blog_Orthopedic-billing-denials-and-how-to-overcome-them-1024x384-1-1.jpg","type":"image\/jpeg"}],"author":"medisys","twitter_card":"summary_large_image","twitter_misc":{"Written by":"medisys","Est. reading time":"3 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/#article","isPartOf":{"@id":"https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/"},"author":{"name":"medisys","@id":"https:\/\/www.medisysdata.com\/blog\/#\/schema\/person\/9f5cfa90ddf7805d6badbe7f652e4abf"},"headline":"Orthopedic billing denials and how to overcome them","datePublished":"2019-04-29T22:38:53+00:00","dateModified":"2022-10-19T16:59:58+00:00","mainEntityOfPage":{"@id":"https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/"},"wordCount":482,"commentCount":0,"image":{"@id":"https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/#primaryimage"},"thumbnailUrl":"https:\/\/www.medisysdata.com\/blog\/wp-content\/uploads\/2019\/04\/Blog_Orthopedic-billing-denials-and-how-to-overcome-them-1024x384-1-1.jpg","keywords":["medical billing services","medical coding services","Orthopedic billing","top medical billing company"],"articleSection":["Orthopedic Medical Billing Services"],"inLanguage":"en","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/","url":"https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/","name":"Orthopedic billing denials and how to overcome them - Leading Medical Billing Outsourcing Services Company in the USA","isPartOf":{"@id":"https:\/\/www.medisysdata.com\/blog\/#website"},"primaryImageOfPage":{"@id":"https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/#primaryimage"},"image":{"@id":"https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/#primaryimage"},"thumbnailUrl":"https:\/\/www.medisysdata.com\/blog\/wp-content\/uploads\/2019\/04\/Blog_Orthopedic-billing-denials-and-how-to-overcome-them-1024x384-1-1.jpg","datePublished":"2019-04-29T22:38:53+00:00","dateModified":"2022-10-19T16:59:58+00:00","author":{"@id":"https:\/\/www.medisysdata.com\/blog\/#\/schema\/person\/9f5cfa90ddf7805d6badbe7f652e4abf"},"breadcrumb":{"@id":"https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/#breadcrumb"},"inLanguage":"en","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/"]}]},{"@type":"ImageObject","inLanguage":"en","@id":"https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/#primaryimage","url":"https:\/\/www.medisysdata.com\/blog\/wp-content\/uploads\/2019\/04\/Blog_Orthopedic-billing-denials-and-how-to-overcome-them-1024x384-1-1.jpg","contentUrl":"https:\/\/www.medisysdata.com\/blog\/wp-content\/uploads\/2019\/04\/Blog_Orthopedic-billing-denials-and-how-to-overcome-them-1024x384-1-1.jpg","width":1024,"height":384},{"@type":"BreadcrumbList","@id":"https:\/\/www.medisysdata.com\/blog\/orthopedic-billing-denials-and-how-to-overcome-them\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.medisysdata.com\/blog\/"},{"@type":"ListItem","position":2,"name":"Orthopedic billing denials and how to overcome them"}]},{"@type":"WebSite","@id":"https:\/\/www.medisysdata.com\/blog\/#website","url":"https:\/\/www.medisysdata.com\/blog\/","name":"Leading Medical Billing Outsourcing Services Company in the USA","description":"You Cure We Secure","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.medisysdata.com\/blog\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en"},{"@type":"Person","@id":"https:\/\/www.medisysdata.com\/blog\/#\/schema\/person\/9f5cfa90ddf7805d6badbe7f652e4abf","name":"medisys","image":{"@type":"ImageObject","inLanguage":"en","@id":"https:\/\/secure.gravatar.com\/avatar\/79d7a562f3c08c721df502178306075752b41ea9a19670eb43265d6e0f4a501d?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/79d7a562f3c08c721df502178306075752b41ea9a19670eb43265d6e0f4a501d?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/79d7a562f3c08c721df502178306075752b41ea9a19670eb43265d6e0f4a501d?s=96&d=mm&r=g","caption":"medisys"},"sameAs":["https:\/\/www.medisysdata.com\/blogs"],"url":"https:\/\/www.medisysdata.com\/blog\/author\/admin\/"}]}},"_links":{"self":[{"href":"https:\/\/www.medisysdata.com\/blog\/wp-json\/wp\/v2\/posts\/4424","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.medisysdata.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.medisysdata.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.medisysdata.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.medisysdata.com\/blog\/wp-json\/wp\/v2\/comments?post=4424"}],"version-history":[{"count":2,"href":"https:\/\/www.medisysdata.com\/blog\/wp-json\/wp\/v2\/posts\/4424\/revisions"}],"predecessor-version":[{"id":8337,"href":"https:\/\/www.medisysdata.com\/blog\/wp-json\/wp\/v2\/posts\/4424\/revisions\/8337"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.medisysdata.com\/blog\/wp-json\/wp\/v2\/media\/4757"}],"wp:attachment":[{"href":"https:\/\/www.medisysdata.com\/blog\/wp-json\/wp\/v2\/media?parent=4424"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.medisysdata.com\/blog\/wp-json\/wp\/v2\/categories?post=4424"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.medisysdata.com\/blog\/wp-json\/wp\/v2\/tags?post=4424"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}