Common Medical Billing Errors and How to Spot Them
Last updated November 9, 2023
The last thing you want after receiving medical care is a billing mistake that costs you more than it should. Unfortunately, medical billing errors are not uncommon, and they can make a significant impact on your finances. Knowing what to look for can save you from overpaying.
Introduction
Medical billing involves numerous details and complex coding, which leaves room for error. Patients must stay vigilant to ensure they aren't paying for these mistakes. This article outlines common errors and provides a guide to spotting them.
Step-by-Step Guide
- Mismatched Coding: Ensure that the procedure codes on your bill match the treatment you received. Mismatched or outdated codes can lead to denied claims or incorrect charges.
- Unbundled Charges: Look out for charges that should be bundled into one payment. Items or procedures that are part of a single operation may be incorrectly itemized, leading to higher costs.
- Duplicate Billing: Confirm that you haven't been billed multiple times for the same procedure. This can happen due to human error or computer glitches.
- Cancelled Procedures: If you were charged for a procedure that was cancelled or not performed, this should be removed from your bill.
- Upcoding: Watch for upcoding, where the billing is for a more expensive service than the one provided. This can inflate your bill significantly.
- Incorrect Patient Information: Even small errors in patient information can cause claim denials. Double-check your personal details every time.
- Insurance Omissions: Ensure your insurance payments and coverage have been applied correctly. Sometimes payments or pre-authorizations are overlooked.
Conclusion
Being proactive and informed is your best defense against overpaying due to billing errors. Always review your bills carefully and don't hesitate to question charges you do not understand or believe are incorrect.