Signs of Possible Problems with Billing in Medical Practice

• use codes and descriptors that are out of date or not approved?

• fail to charge for certain services?

• under-code or over-code for services?

• have an excessive number of denials or requests for more information?

• have an undesirable level of inaccuracy found during audits?

• not trained regularly about charging rules and regulations?

• have difficulty finding up-to-date information related to coding?

• have difficulty finding answers to specific problems with coding?

• plan poorly for changes in reimbursement or regulations?

• fail to audit coding regularly?

• inefficient?

• rely on a billing consultant who gives questionable advice?

• get insufficient feedback about coding performance?

• provide insufficient documentation in the medical record to support charges?

• make errors when charging for non-physician services?