Tackling Commonly Encountered Medical Billing Claims Submission Errors

Social Shares

Revenue cycle management is many-layered and a non-proficient medical billing company may easily lose its way within its maze, unless they hold the right map which may guide it unfailingly through its many pitfalls.  Incidentally, such a map has to be devised by the medical billing company itself; the key ingredients for which are:

1.  Medical billing and medical coding expertise of its own personnel.

2.  Their study of the many reports (Denial, A/R etc) generated by their EMR/Medical Billing software and their proficiency in generating such reports.

3.  Proactive measures undertaken by the company to keep itself updated with the latest medical billing and medical coding guidelines.

Unfortunately, the usual run-of-the-mill medical billing company is usually found to be lacking in all of the above, and hence their modus operandi at best can be described as an ad-hoc submission and follow-up of claims, with no regards to finding patterns to optimize future submission of claims.  But BillingParadise strives to stand out from this motley assortment of underachievers.   Our claims submission , A/R follow-up, and denial management protocols have been derived scientifically based on all of the above.  We don’t leave it to lady luck to decide whether you get reimbursed appropriately or at all for your services.

For example, one of the medical billing errors commonly encountered in many a claims submission cycle, has almost disappeared from our annals of claims submission history.  This is the error:  10416.

The above is encountered when the DOS overlaps a hospice election period of a patient.  Medicare mandates that the SNF provide all care relating to any terminal diagnosis, and thus won’t recognize the services of another non-hospice provider. This, unless the care is being provided for a non-terminal condition the patient may have.

Thus BillingParadise, which believes in honing its medical billing skills to a fine edge, will leave no stone unturned in making sure you get the maximal reimbursements for your claims.  Call us at 1-888-571-9069 for a telephonic rendezvous.

Social Shares


I’m a multi-certified revenue cycle management professional and compliance officer with 20+ years of experience. I contribute articles to leading healthcare publications and journals. I am currently working as Senior Transition Manager, in BillingParadise headquartered at Diamond bar, California. BillingParadise offers Medical Billing Services that intersect perfectly with the EMR/Practice management system you use.BillingParadise has offices in New Jersey, New York, Florida, Georgia, Minnesota, and Texas.

Continue Reading..

Related Articles

Get paid Three times faster with our 24/7 medical billing services.

Work with medical billers who understand your EHR's billing process backwards and forwards

Avail Free RCM Audit Worth $2,000! Check out 19 different KPI reports that stops your cash flow.

More in Billing & Collections
Medical Billing in the New Age

Small Oncology Center had called in to Avail our Medical Billing Continuing with our “the other day” series of posts,...