Due to the complexity of medical billing and the amount produced daily, tracking of billing mistakes is not always easy even for the billing professionals and is an assured impossibility for the naïve client/patient with not much technical knowledge about it. It is for the health care professionals to avoid such common billing mistakes which often amounts to just carelessness and could be caused by a flaw in the internal communication process. Here is a list of the most common billing mistakes that often becomes the cause for a delay or denial of the insurance billing industry.
- Wrong patient identification number
- Wrong ICD-9-CM code with out fourth / fifth digits when required
- Duplicate claim
- Wrong date of service
- Wrong rates charged
- Procedure of claim not fully furnished by the other party
- No match between the ICD-9-CM code and CPT code
- Physician’s ID not available
- Billing for more Operating room time than used
- Type of service code not mentioned
- Billed for cancelled services / tests
- Bill amount totaling mistake
- Treatment/service provided was not validated
- Service/treatment given in an invalid center/place of service
- Service was not a medical necessity
- Place of service code not mentioned
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