Finding qualified billers: Providers often have limited options to back them up due to absences or turnover.
Manual claims confirmation: Delayed or ineffective monitoring of payor holds can necessitate a manual and tedious process of checking the patient record or lead to denied claims or audits.
Interdepartmental communication gaps: Sometimes hospices miss essential steps because multiple teams think another team will handle an issue. This often becomes an issue between clinical teams believing a task is a billing function, while billing assumes a clinical task belongs with clinical.
Billing and coding errors: These can put providers at risk of botching regulatory compliance and/or reduce reimbursement and increase denied claims.
Interrupted cash flow: When cash flow is stalled for extended lengths of time, the agency’s cash flow is negatively impacted.