E/M Coding Alert - 2017 Issue 11
Billing: Use These Tips to Create Synergy With Your Billing Firm
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Article Overview
This article explains how emergency departments and third-party billing firms can work together more effectively when outsourcing billing operations. It focuses on setting communication expectations, keeping compliance top of mind, and preparing for the possibility that billing issues or coding errors may be identified during the relationship. The guidance is aimed at practices evaluating or managing a billing vendor relationship and at billing professionals supporting those practices.
Why This Topic Matters
Outsourcing billing can improve operations, but it also creates dependence on clear processes, compliance oversight, and coordinated issue resolution. This article helps readers assess whether a billing firm is a good operational fit and what areas should be addressed before and during the engagement.
Article Sections
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Establish a Check-in Arrangement
Discusses the importance of agreeing on communication cadence and availability expectations before beginning a billing relationship. It addresses how practices may want to structure routine contact with their billing vendor.
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Ensure the Service Is Well-Versed in Compliance
Focuses on compliance awareness as a key criterion when evaluating a billing firm. It describes the general role of compliance materials and ongoing updates in a billing partnership.
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Ask How the Billing Firm Handles Potential Errors
Covers how a billing company should respond when potential billing or coding problems are discovered. It also addresses the importance of knowing how the vendor approaches correction and escalation concerns.
What You Will Learn
- How to set expectations for communication with a billing firm
- Why compliance capability matters in an outsourced billing arrangement
- What to ask about a vendor’s process for identifying and addressing billing issues
- How practices and billing firms can coordinate during transitions to outsourced billing
Who Should Read This
- Emergency department administrators
- Practice managers
- Medical billing professionals
- Compliance staff
- Physician group leaders
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