Healthcare billing is a challenging task, and its processes can get tricky. The complexity of medical billing services is more complex for patients unfamiliar with the complexities of the US healthcare system. The medical billing process can become overwhelming, time-consuming, and confusing; this can make for a frustrating experience for patients who try to understand the insurance claims or bills. That is where the medical billing advocates come to help.
What type of tools and information the billing advocates need to help you depends on your circumstances. These circumstances can revolve around your insurance plans or medical bills. Some medical billing advocates by state might have different requirements. Still, you may expect that billing advocates might need the following:
When doctors or physicians perform two separate procedures or services simultaneously for the same patient, a comprehensive CPT code often signifies both procedures. The charge for such codes is less than the charges of CPT codes denoting separate procedures. This is because it takes physicians less time to perform two procedures than separately, at different times. In some instances, healthcare billers can improperly unbundle such charges by using separate codes instead of a code that describes a comprehensive procedure. Such instances are called unbundling of medical services, which can lead to overbilling.
Primarily, the billing errors result from honest mistakes of medical billers or coders. These errors result from inattention or poor training on the part of healthcare billing personnel.
Billing advocates can help with every kind of medical bill; these include:
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