3 Ways to Improve Your Immunology Billing Efficiency

Efficient immunology billing is crucial for the success of immunology and allergy providers. Billing operations for immunology tests like CRP and HBSAB are burdened by regulations. These procedures are often grouped as over-utilized by payers, and regulatory hurdles tend to be more to avoid fraud.

New A& I procedures are being approved by the FDA regularly. Some of these procedures are expensive, and so when billing for these expensive immunology services, providers must ensure their reimbursement claims have no mistakes that can result in denials or underpayments.

This way, providers can recover reimbursements quickly. It also helps them maintain a steady cash flow. There are numerous other benefits to it too. But for the purposes of this blog, we will discuss three ways to improve immunology billing efficiency.

1) Insurance, Eligibility & Benefits Verification

Insurance and eligibility verification are unavoidable billing steps. They are commonly termed pre-billing ops. With this step, providers can understand reimbursement rates and other relevant details for billing requirements.

To improve accuracy of insurance processes, immunology providers should focus on these two aspects of this billing stage:

• Pre-verification:

Before providing medical services, immunology providers should check the patient's insurance eligibility. This can prevent claim denials due to non-coverage issues and reduce reimbursement problems during collection.

• Benefits coverage:

This step helps understand the patient's benefits package. By being aware of patients’ coverage benefits, providers can keep them informed about their expected financial liabilities. This helps increase adherence to payment plans by patients.

2) Audit & Minimize Avoidable Manual Billing Errors

Measures to check for errors and audit immunology billing claims are crucial in improving accuracy. Billing errors can be minimized but not eliminated, so audits are important in keeping errors under control.

Implement these two practices to improve billing efficiency:

• Regular audits:

Conducting regular audits at every stage of the immunology billing process helps identify and fix errors that lead to denials and reimbursement issues.

• Automation:

Billing software can improve accuracy significantly. To help understand this, automated systems can accurately code immunology procedures like allergy testing or intravenous immunoglobulin infusion. However, billing these procedures manually can be time-consuming.

3) Regularly Train Staff on Immunology Billing Services

Regular training sessions are crucial in maintaining efficiency of billing operations. Regulations and policies tend to be updated frequently. And so, it is important for immunology billing staff to be aware of guideline changes that affect their billing operations.

Providers should design their training sessions to ensure:

• Continuous training:

Regularly training staff on immunology billing updates and processes helps ensure accuracy even on newly approved procedures.

• Say updated:

Staying updated about other relevant areas like insurance guidelines, reimbursement policies, and claim filing timelines can help make informed changes to billing operations quickly.

Grow Revenues with Sunknowledg's Immunology Billing Services

Sunknowledge's immunology billing services have helped streamline RCM operations and lead to improved revenue for providers across the US. Our comprehensive services from pre-verification to claim submission and follow-up help improve accuracy and reduce operational expenses by up to 80%.

With a trusted immunology billing partner like Sunknowledge, providers can expect to:

• Improve collections

• Shorten billing cycles

• Maximize revenue from claims with accurate billing and coding

• Boost patient satisfaction

To learn more about our references or for details about how our immunology billing services have helped providers in California, Texas, and New York maximize collections in the first 3 months, please contact Sunknowledge Services Inc., a HIPAA-compliant healthcare RCM organization serving US providers & payers since 2007.