5 Challenges for Physician Billing Services in 2021

The most destructive COVID-19 pandemic influenced the global economy last year 2020 the world has ever faced. But it seems that the situation might get worsen during the approaching time and 2021 can be more challenging for businesses.

Talking about the healthcare sector 2021 will certainly bring challenges for practitioners and physicians around the world in respect of medical billing. With the changing social, healthcare, and coding regulations the upcoming time will bring unseen challenges.

With the shifting of social, healthcare, and coding regulations the upcoming time will bring unseen challenges. Also, the documentation guidelines for assessment and management services will adjust as planned by the Centers for Medicare & Medicaid Services in 2021.

Here’s the list of the 5 Challenges for Physician Billing Services in 2021:

1. Current Procedural Terminology Alters:

The American Medical Association has prepared a list of new CPT code signifiers for medical diagnosis and procedures as well as other outpatient services. The new code will specify a medically appropriate history and/or physical examination and a specified level of MDM.

2. Bigger Claim Denials: 

The changes of regulatory and medical conditions amongst the patients have increased the burden on the physicians. A small error in coding or billing might lead to denial of claims which will damage the financial health of a practice. So, it is important for physicians to prepare for these conditions well in advance.

3. Complex Revenue Collection: 

Inferring the Insurance Payers new coverage policy will require some time. This may lead to mix-ups or denials of certain claims and will make difficult the revenue collection process for the physicians. Non-coverage of certain services and high deductible plans might also make delays in payment for the practitioners.

4. Complicated Revenue Collection:

Understanding the new coverage policy of insurance payers will require some time. This might lead to confusion or denials of certain claims and will complicate the revenue collection process for physicians. Non-coverage of certain services and high deductible plans might also delay payment for practitioners.

5. Excessive Administrative Burden:

Physicians have been managing the dual task of patient care and medical billing services. But, the COVID-19 situation has made the scene more complicated. Physicians are finding it difficult to train their employees for these changes. This increased the administrative liability that might harmfully impact the revenue cycle for a physician’s practice.