There are many mistakes that people make on their medical billing invoices, but there are three common mistakes that are hurting the chances of getting paid.
1. Missing authorization number on an invoice or billing an invoice without authorization on file with the payer.
2. Not sending the invoice to the correct payer.
3. Not sending the correct invoice to the payer.
If you want to know more about how to fix these mistakes, please read below or feel free to call me directly at (330) 349-8455 or email me at firstname.lastname@example.org. I will be happy to help you get more of your money!
Missing authorization number on an invoice or billing an invoice without authorization on file with the payer.
Depending on the payer, a home health agency (HHA) may be required to obtain a
‘prior authorization’ (PA) to provide home health services. Without obtaining a (PA) before services are rendered will result in a denied invoice. Also, if the prior authorization information is missing from the invoice the claim may be denied by the payer.
Not sending the invoice to the correct payer.
Believe it or not, sending an invoice to the incorrect payer happens more often than you realize. Before sending your invoice make sure to read your provider contract or provider billing info from the payer before sending your invoices. If none is noted, call provider services with the payer to obtain the correct mailing address or electronic payer id to ensure invoices are sent to the correct payer.
Not sending the correct invoice to the payer.
Depending on the type of home health agency (HHA), skilled or unskilled the invoices must be sent to the payer either paper or electronically on an Institutional (UB04) or CMS 1500 form. If invoices are sent on the incorrect form or electronic claim the invoice will be denied for payment.
Home health billing is a specialty that takes a lot of work. Be sure to use invoice templates and double-check your mistakes before you send them. Making mistakes on the home health medical billing invoice will get your invoice rejected by insurance companies, payment will be denied and your revenue will be negatively affected.
We've created a guide to help Home health care billing professionals better understand the Medicare rules for billing for Home health care. Check it out in our store today!