How Medical Data Entry Settle UB-04 and CMS-1500

Facing tremendous pressure to settle medical bills?

Don’t worry! We’ll show you how to quickly settle bills with the power of delegation.

Filling out forms like UB 04 and CMS 1500 is necessary to submit insurance claims. However, the accuracy of the data is essential, so you can rely on medical data entry services to settle the claim at the right time.

If you run a healthcare organization, you must focus on providing quality healthcare services, not on time-consuming bill processing. Many healthcare organizations have already switched to the outsourcing model to save crucial time.

Let’s see how outsourcing medical data entry services can quickly settle forms like UB-04 and CMS-1500 in this blog.

First of all, medical billing is quite complex and it needs specialized attention. Apart from that, you need to work with a lot of data to process and settle a claim via the bills. Details like patient information, treatment procedures, costs, diagnosis codes, etc are there. Dedicated employees who are experts in billing can perform all these tasks accurately.

But wait a minute! Data entry and bill processing are not your core operations. Isn’t it?

Therefore, outsourcing medical data entry services is the solution that you need here. We can prove how important it is.

Even with the slightest mistake, big things can happen. But ultimately, it would impact the claim settlement process. It could delay the process and increase the chances of denials. Only experts can make these things better as they know how it process forms and fill in the right details. But when you bring experts for in-house operations, you are inviting unnecessary expenses.

As a healthcare organization, you can focus on your core task, which is patient care and treatment management, when you outsource the billing process. You can get experts help who are proficient in handling these cases for more than many years. Outsourcing can open many new doors of possibilities in your healthcare operations.

Here come the subtle indirect benefits of outsourcing the medical billing process. First and foremost, it will reduce the burden on your in-house employees processing huge amounts of forms. Plus, healthcare data entry specialists will take care of your forms and bill processing needs. Most importantly, it will make the bill clearance process easy and settle claims quickly.

The National Uniform Billing Committee (NUBC) drafts and updates the UB-04 forms. This form is basically a standardized billing procedural code that healthcare providers use to submit their claims for their services to insurance companies. Any type of healthcare organization including hospitals, rural healthcare clinics, nursing homes, as well as rehabilitation centers can use this form to settle their claims.

For providing medicare services, non-institutional medical services providers like suppliers, can claim benefits from insurance companies through CMS-1500 forms. For example, providers of medical equipment, laboratories, radiology, and other facility centers can claim benefits with this form.

Healthcare organizations usually hire a group of specialized people to perform the billing tasks. It’s not usually their core operations but they have to do it mandatorily, to settle medical claims. However, while hiring professional data entry in-house experts, they face various issues. That’s why outsourcing comes handly and solves issues from the basic level. Here’s how;

Forms with inaccurate and incomplete information are prone to be rejected during settlements. Every single detail entered in the form should be verified and backed by supporting documents. Professionals who are experts in handling UB 04 and CMS 1500 forms can reduce claim denials to the optimal level.

At the pre-authorization stage, patient details must be verified, which include insurance details, checking eligibility criteria, etc. Ignoring this stage can lead to billing issues in the later stage. Experts who have the relevant experience of handling this stage can easily manage the bills. Well, outsourcing healthcare data entry services can get you those experts, in easy terms.

Medical procedures follow codes for diagnosis and treatment. While settling medical claims, the data entry professionals have to mention all codes properly. Lack of experience in handling medical codes can lead to claim denials. So, for the best, you can prefer outsourcing to solve coding-related issues.

There’s a fixed timeframe in which you need to submit your claim request. Besides accurate entries, you need to complete the process within a fixed period. It’s time for you to scale up your process through outsourcing. When you outsource medical data entry services you’ll get experts for processing and submitting claim requests on time. Overall, settlement of the claim would become much easier and quicker.

Handling health insurance claims itself is a complex process as patients, generally, apply for multiple insurance plans. Coordinating the benefits is a complex task, but it can be simplified with proper management of insurance billing. Outsourcing as a service gets you experts who can coordinate with the benefits and deliver them on time.

Explore the diversity of outsourcing with medical data entry services. A dedicated team will get connected to your existing team and support them with processing claims. Not only that, they can work in 24/7 circles to relieve your core team from burning out. They are experts in processing claim files and handling medical data.

Start a pilot project with us to see how outsourcing works for you.