Why You May Want to Double Check Those Medical Bills

May 20, 2016 at 5:29 pm Leave a comment

iStock_000079107555_MediumEveryone who visits the doctor’s office, hospital or other healthcare provider can benefit from double checking their bills. In addition to providing insight into how one’s healthcare dollars will be spent, it may also lead to spotting medical billing errors and avoiding overpayments.

Billing errors are not uncommon, and can range from duplicate charges, incorrect information such as a wrong insurance identification number, or an inflated quantity of services provided.

The following tips can help you catch common errors:

  • Duplicate charges can appear on medical bills. To ensure you were not billed twice for a single service or procedure, carefully check medical bills and request an itemized bill if one was not provided.
  • Cancelled tests or procedures can show up on an itemized bill. If you think you were overbilled, dispute the charge.
  • Incorrect patient information such as an incorrect name spelling or policy number misprint can lead to a claim denial.
  • Upcoding charges, such as a hospital inflating a patient’s diagnosis to one that represents a more serious condition, may result in a higher medical bill. Check to make sure the diagnosis on the bill is correct. If you are unsure, do some additional research online for coding or talk to your doctor’s office.
  • Balance billing when in-network occurs when a healthcare provider bills you for charges other than deductible, co-payments, co-insurance or any other amount not covered by your health plan. Compare the bill to your EOB to confirm you haven’t been balance billed for the amount of the discount from the in-network provider.
  • Incorrect quantity occurs when you are charged for an incorrect quantity of items or medications. This error can include an extra 0 placed at the end of a number by a billing department.

Source: https://www.nerdwallet.com/blog/health/common-medical-billing-errors/

Entry filed under: Cost Savings.

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