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

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.

12345
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

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..

12453
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Outdated CPT Codes: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.

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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