Proactive Lab Billing Solutions to overcome declining reimbursement rate

Medcare MSO
3 min readApr 5, 2021

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In order to maintain financial stability in ever-changing healthcare industry regulations lab practitioners need to establish proactive lab billing solutions to streamline their reimbursement rate. We all know that billing regulations, laws, federal policies, insurance healthcare & coverage plans are constantly changing over time.

Lab Billing Solutions

And it can be difficult for lab practitioners to provide quality care service to their patients and manage their billing-related tasks at the same time.

Due to lacking proper resources and technology, lab practitioners face dire consequences in terms of a claim denial that results in the loss of thousands of dollars. That negatively impacts their practice’s efficiency, productivity, and overall reputation.

So the question is how to get rid of all these denials and financial losses? You can overcome these denials and improve your reimbursement rate with proactive medical billing solutions. Here in this article, I will discuss how lab billing solutions help you overcome declining reimbursement rates and improve your revenue.

  1. Reduce Claim Denials

If you want to keep the billing in-house and you lack skilled personnel and proper tools, you may miss out on your valuable income due to claim denials. Because an inefficient medical staff leaves many errors and discrepancies in the claim processing system.

Medical billing solutions providing team help you to deduce claim denials. They ensure a clean claim processing system with minimal or no billing errors. They reduce denials through code review and eligibility checks which is the quickest and effective strategy to correct claims.

Sometimes tiny errors like spelling mistakes, miss digit, incorrect information lead to expensive claim denials. So the professional billing team double checks each information before sending a claim to the insurance company. It will reduce the chances of errors and denials and leads to a maximum reimbursement rate.

2. Timely Handle Denied Claims

Double-check for errors in a medical claim reduces the chances of denials. But when a claim gets denied, you must handle them as soon as possible. The lab billing solutions providers constantly connected with the insurance carrier. They can help you clarify problems and provide information on current claims that help you minimize resubmission and appeal time.

To prevent missing deadlines, you must set up time-sensitive tasks for your billing team to audit unfiled claims. A reminder system can also prove to be a strategic solution to resolve this problem.

3. Look for Ways to Improve

If you want to improve your practice’s revenue and efficiency, you must adopt advanced lab billing solutions. By keeping current on healthcare regulations and tracking performance, professionals identify your lack areas and implement strategic plans to rectify them.

To ensure accuracy and efficiency in the process, they take the following steps;

  • To determine the effectiveness of your payment collection process and improve your practice’s RCM performance they track pending accounts receivable.
  • To stay on top of the industrial edge, they always keep up to date with constantly changing healthcare regulations. And provide proper training and education to their medical staff on billing and coding protocols when needed.
  • They Implement proactive solutions for problematic accounts like regularly declined payments, late payments, required changes in patient information, additional reminders, etc.

Conclusion:

Many lab practitioners are facing challenges in efficiently managing their billing processes in-house. Train your medical staff, and providing proper resources to handle accurate claim processing is important for the success of any medical practice’s bottom line. If your healthcare practice is still facing claim denials and reducing the reimbursement rate. Then working with third-party lab billing solutions providing company, leaving the more problematic collections to professionals.

Outsource your problematic collections to Medcare MSO. Our professional billing team collects all your hard-earned payments on your behalf of you. And ensure a clean claim processing system with zero errors which helps improve your reimbursement rate.

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Medcare MSO
Medcare MSO

Written by Medcare MSO

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Medical Billing Company Over 12+ year Based in California

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