Survey of Discovery for Medical Billing Industry #2

As an industry correspondent, I like to get opinons and stats for my writing projects. Your opinions are important and it is very much appreciated if you would take a couple minutes to take this short survey.

Part 1) Top Medical Billing Reimbursement Issues  Part 2) To Be Determined

 Thanks in advance, RKO 

 

"Always be learning, my friend."

 

 

 

Survey of Discovery for Medical Billing Industry #2
The poll results are public

Please list the most appropriate answer.

Please list another job title if that better reflects your position.

Reimbursement issues caused by Payor :Please rate the following from (1) the least cause and (5) the most causal.

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2
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5
Delays due to Payor Tactics
Payors routinely ignore modifiers
Waiting for an action ie: patient to return an accident questionaire
Non-referral denials.no referral number it gets denied.
CPT codes not included in pre-certification prior to surgery. Only pay approved CPTs
No reason: when we call it is paid.
SGR formula for Medicare payments resulted in cuts

Are there other issues that you think should be added to the above section?

Reimbursement issues due to Internal Issues:please rate the following from (1) the least cause and (5) the most causal..

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4
5
3
New CPT codes are difficult to understand. ie: new lumbar fusion codes for 2012
Incomplete insurance verification up front
Outdated CPT Codes:
Claims filed with wrong insurance company or has secondary insurance listed as primary will lead to rejection.
Failure to prioitize procedures; If you don't have highest paying procedure listed 1st, results in underpaiyment.
Incorrect ordering of CPT codes on claim form
Misunderstood the HMO PPO requirements
Not every procedure can be performed bilaterally
Wrong device may have been used. ie:Ankle brace needed to be rigid instead of semi-rigid device.

Are there other issues that you think should be added to the above section?

Regarding receiving credit card payments, please choose an option that reflects your opinion.

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