Common Medical Billing Mistakes

by | Last updated Aug 8, 2023 | Published on Jan 23, 2008 | Medical Billing

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Only when insurance claims are either held up or denied do people realize that there have been mistakes in medical billing that must have been avoided. Here is a list of the most common billing mistakes that becomes the cause for a delay or denial of the insurance reimbursement.

  • Wrong patient identification number
  • Wrong ICD-9-CM code with out fourth / fifth digits when required
  • Duplicate claim
  • Wrong date of service
  • Keystroke clerical error
  • Procedure of claim not fully furnished by the other party
  • No match between the ICD-9-CM code and CPT code
  • Physician’s ID not available
  • Type of service code not mentioned
  • Billing branded drug for generic
  • Amount totaling mistakes
  • Treatment/service provided was not validated
  • Service not rendered
  • Service/treatment given in an invalid center/place of service
  • Service not a medical necessity
  • Place of service code not mentioned

For professional and affordable medical billing, medical coding and medical transcription services call the Oklahoma based BPO pioneer OSI (Outsource Strategies International).

You can find the updated blog post by following this link 

Unveiling the Most Common Pitfalls of Medical Billing

  • Natalie Tornese
    Natalie Tornese
    CPC: Director of Revenue Cycle Management

    Natalie joined MOS’ Revenue Cycle Management Division in October 2011. She brings twenty five years of hands on management experience to the company.

  • Meghann Drella
    Meghann Drella
    CPC: Senior Solutions Manager: Practice and RCM

    Meghann joined MOS’ Revenue Cycle Management Division in February of 2013. She is CPC certified with the American Academy of Professional Coders (AAPC).

  • Amber Darst
    Amber Darst
    Solutions Manager: Practice and RCM

    Hired for her dental expertise, Amber brings a wealth of knowledge and understanding of the dental revenue cycle management (RCM) services to MOS.

  • Loralee Kapp
    Loralee Kapp
    Solutions Manager: Practice and RCM

    Loralee joined MOS’ Revenue Cycle Management Division in October 2021. She has over five years of experience in medical coding and Health Information Management practices.