INDEPENDENT LABORATORY BILLING PROVIDER

In a market stocked with options, Laboratories still don't seem to find the perfect solution to their billing issues. While Laboratories hire the best expertise to help increase the proficiency of their practice they often seem to neglect to the bill since it's not a doctor's area of expertise. This neglect, in turn, results in loss of serious revenue. Billing, coding and the other back-end processes that run along with the front end of the lab is a vital cog in the wheel. It needs to be optimized to achieve maximum efficiency which automatically results in a streamlined revenue stream. An independent laboratory billing provider is your go-to option.

                 

Laboratory billing services elevate your practice's efficiency. A professional team of billers and coders ensure clear and concise billing. Ensuring that your practice does not suffer the bane of denials. Every laboratory is different. Some by virtue of the field of expertise, like Toxicology, Pathology, Clinical medicine or even molecular and some through the scale of operation.

Everyone is different with different needs and we at Bikham Healthcare understand that. With over 13 years of pro-active experience offering our partners/clients customized suite of billing solutions, we ensure our solutions are cost-effective and fit you like a glove.

Bikham Healthcare is a leading independent laboratory billing provider that offers a whole range of billing services and solutions. Our job doesn't end at billing & coding. We have a dedicated team that takes care of just about everything. Starting from accurate billing and coding. Always submitting claims way on time, minimizing any denials, maximizing your revenue stream and the general efficiency of your practice.

Furthermore, Bikham healthcare is the leading independent revenue cycle management firm. Post providing you with top-notch billing and coding support. Our team of experts helps manage your revenue cycle and optimize it with a host of customized solutions.

Proper billing with the appropriate codes reduces the number of denials and unpaid claims. Bikham Healthcare's claim to providing top-notch Independent laboratory billing solutions is further solidified by our complete adherence to ethics and professionalism. We're completely HIPPA compliant with ISO/IEC 27001:2013 certifications.

Further ensuring that we're a team of professionals driven by ethics and excellence. Our 13 years of experience coupled with our expertise is a definite guarantee that avails you a whole set of benefits helping you achieve your financial goals and more.

Why Claim Denials Occur and How To Handle Them?

There could be multiple reasons at play as to why the claims are denied by insurance agencies. Some often common and easily dealt with while others might be a tad bit too hard to detect without the help of a certified professional at hand to assist. Here are few reasons you might encounter from time to time.

1. Mixed-up documents: Exemplifying a case where your chiropractor has submitted a claim for Chris Martyn, but you have been listed as Chris Martin at your insurance agency which guarantees the inevitable of a denial.

2. Many times a medical billing insurance agency might disagree with the medical practitioner about the treatments involved and required due to a variety of reasons, such as:

a)The requested test or treatment is really not required to be done.

b)The test is necessary, but you are unable to convince your insurance agent for that. In that case, you have to explain more about why you need that test or service to your insurance agent.

3. When your insurance agent wants you to give priority to a less expensive option, then he will probably approve the requested treatment if you go for the option that he expected you to choose, but it is not up to the mark.

4. The insurer will deny the claim if the service is rendered by that specific physician but approve if you opt a different physician for the same service. Or you can also try to convince your insurer that the opted physician is the only physician who can render this service.

5. Inadequate data entered with the claim or pre-authorization request will also lead to claim denial. Let's say you have requested subluxation of the cervical spine, but your chiropractor didn't fill any data regarding your spine.

6. You will need denial management in healthcare if you don't follow the insurance guidelines. As an illustration, let's consider that your insurance plan requires you to get pre-authorization prior to receiving a particular non-emergency treatment. But you have got that treatment without having pre-authorization from your insurance agent. In that case, your agent has all the powers to deny your claim just because you didn't follow the guidelines even if you really wanted that treatment to be done.

How to handle claim denials :

Be it a denial for the treatment you have already had or a denial in the pre-authorization request, getting a denial is always burdensome. You may assume your ineligibility of a specific treatment because of a denial during pre-authorization, but hey, think again!

A denial doesn't necessarily disqualify you to receive a specific treatment, it simply states that the insurance shall not cover it which disqualifies you to file for a claim but you can simply opt to pay for the very same from your own pocket.

All insurance plans avail the extra benefit of the 'Appeal process' in case of a denial. The process shall be summarized in the information you receive along with the denial of the claim or during pre-authorization.

However, after putting such efforts you are not able to resolve the issue by working internally the insurance plan, you may go for an alternate method i.e. external review of the claims denial. For this, you can outsource this service to a third party chiropractic billing company like Bikhamchiro.

To avoid tricky pastures and help you streamline your claim process Bikhamchiro offers you the option of outsourcing your Claim denial process. A team of certified professionals with vast experience shall take on your denial headaches and help you achieve exponential growth and success.  

To know more talk to our medical billing specialists or email. You can also visit our website Bikham dot com and follow us on Google Plus, Pinterest, Facebook, Twitter YouTube and LinkedIn for latest Medical Billing and Coding blog