Survey of Discovery for Medical Billing Industry #2

As an industry correspondent, I like to get opinions 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

Questionnaire results are publicly available

I'm a certified Medical Billing Coder for an Orthopedic PracticeI'm an office manager for an Orthopedic PracticeI'm a certified Medical Billing Coder for an outsourced network billing companyI'm a consultant to the Medical Billing Coding IndustryI'm a non-certified Medical Billing CoderI'm a certified Medical Billing Coder for a hospitalMy vendors are medical billing or Orthopedic Practices

1	2	3	4	5
Delays due to Payor Tactics

Payors routinely ignore modifiers

Waiting for an action ie: patient to return an accident questionnaire

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

1	2	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Outdated CPT Codes: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 prioritize procedures; If you don't have highest paying procedure listed 1st, results in underpayment.

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.

We don't offer it and don't plan to.We offer it but we don't encourage it because of charges.We don't offer it but are considering offering it.We process credit card payments as a viable option.

Survey of Discovery for Medical Billing Industry #2

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.

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..

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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