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The AMAs work on streamlining documentation and reducing note bloat is far from over. If a patient receives an exorbitant bill for a procedure he or she did not have, they might view it as a scam. A slight slip-up in coding may indicate the injured knee is on the left leg, rather than the right, resulting in incorrect patient care. Medical coding errors lead to higher claim denials, loss of revenue, and federal penalties, fines, and imprisonment. However, this may not be the case for some. Impact on the Clinic. Here are Most Common Medical Billing & Coding Errors. denied claims and reduced payments. Denied claims may be appealed and reprocessed in certain cases. But once your team fixes those errors, you can resubmit a clean claim for payment again. Impacts of Improper Coding on Patients All rights reserved. In most cases, objections are made due to unauthorized services or wrong use of ICD/CPT codes. Incorrect treatment decisions compromising patient safety. If wrong diagnoses are entered then it can prove to be risky for that patient. Dr. Freddo, O.D., Ph.D., is a senior Fulbright Fellow and professor of optometry at the MCPHS School of Optometry. A single healthcare provider can lose approximately $40,000 a year in revenue, for example. And of course, inaccurate coding can result in a lower reimbursement than the amount to which you are entitled. But doctors of optometry are entrustedto know what can be better. Access reports from the Council on Medical Education presented during the AMA Annual and Interim Meetings. Maintaining a low denial rate takes a ton of work, especially with all the constantly changing regulations, rules, and medical billing codes. Down-coding is the practice of deliberately selecting a billing code that is lower than the services rendered. Professional medical billing companies have solved this dilemma for physicians and health care service providers by automating billing processes, and by eliminating deficiencies in the billing process. If youre looking for professional help, contact CodeMax Medical Billing today by calling, Finding Medical Billing and Coding Services in Tennessee, Importance of Verifying Insurance Benefits, consequences of inaccurate coding and incorrect billing, Medical Billing Consulting Provider in Arizona, Tips for Claims Management for Healthcare, Medical Billing and Claims Management California. How Medical Billing Errors Negatively Affect a Practice - Amazing Charts If the errors in medical coding and billing are consistent then the payers can proceed to legal action with the allegation of fraud. AMA Member Benefit: 2-Year Headspace Subscription, Learn how the AMA is working to reduce physician burnout.