Charging with Confidence: Get Paid for What You’ve Done
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Getting paid starts with making sure everything that was done gets billed; billed accurately, completely, and without delay. Charging with confidence means knowing your systems, processes, and people are aligned to ensure that no service slips through the cracks, and that your claims hit the door fast.
When Services Go Unbilled
It happens more often than we’d like to admit. A procedure was performed, a test was completed, a visit happened, but the claim was never billed. Sometimes it’s because we’re waiting on documentation. Sometimes the coder is waiting on a clarification. Sometimes someone forgot to mark something as ready. Whatever the reason, it all adds up to lost revenue and unnecessary delays.
Without a solid process, those missed charges can get buried in the chaos of day-to-day operations. And even with a strong team, human error happens. That’s why it’s critical to have a closed-loop system that validates every service rendered has been billed, or at the very least, has been flagged for follow-up.
The Front End Drives the Whole Engine
Charging with confidence doesn’t start in the billing office. It starts at the front desk.
Accurate patient demographics. Correct insurance information. Up-to-date eligibility and benefit verification. Prior authorization where it’s required. Every one of those items is essential to ensuring your claims don’t bounce back or get stuck in limbo.
When your front-end team is dialed in, your back-end team has a fighting chance. But when the front end is loose or rushed, you’re setting up the rest of your revenue cycle to constantly scramble.
Speed to Bill = Speed to Cash
At Claims Theory, we help our clients refine processes for billing clean and billing fast. The end goal should always be to get claims out the door as quickly as possible. Not rushed, not sloppy, but confidently. That confidence comes from building reliable systems, training teams, and setting the expectation that we don’t leave money sitting on the table.
