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8 CRITICAL Medical Billing Error Statistics To Know

Whether it’s during the initial appointment stage or collection, the healthcare process goes through multiple people representing different organizations. What ends up happening is a “too many cooks in the kitchen” scenario that opens the door to mistakes along the way. Out of every area during that process, though, medical billing errors seem to happen most often. It’s a huge problem that exists that sometimes leads to fraud accusations. It doesn’t matter whether you work at a giant hospital conglomerate or a local practice, you’re held accountable for mistakes. LINKS: ____________________________________________ https://etactics.com/blog/medical-bil... ____________________________________________ The first major statistic I have for you is that 80 percent of all medical bills contain errors. If you Google something like, “how many medical bills contain errors” you’ll find a few different answers with different numbers. Some experts across the web say that the number lands somewhere between 30% and 40%. That lower range of numbers comes from an analysis conducted by the University of Minnesota professor, Stephan Parente, quoted in a USA Today article from 2012. Believe it or not, healthcare was much different back then. More organizations were still transitioning towards going paperless. Even then, though, some experts believed that number to be closer to 80%. That’s since been the belief of many. Another statistic you should know is that mistakes on bills cost hospitals 68 billion dollars annually. When billing mistakes happen the organization has to pay it back to their affected clients. Think of these miscalculations in healthcare like getting a refund for buying something that was on sale at a retail store. The unfortunate reality is that nothing within this industry goes on sale. However, patients can take solace in knowing that hospitals and other facilities have to take responsibility when medical billing errors occur. Next, you should know that medical billing errors mar the credit reports of around 14 million Americans. This comes from a 2011 study conducted by the Commonwealth Fund. Most likely, the Commonwealth Fund concluded this information based on the percentage of doctor bills on people’s credit reports. They then looked at the likeliness of medical billing errors happening and multiplied that by the first number. As a result, they could conclude that the amount of Americans with errors affecting their credit is a little higher than the entire population of Pennsylvania. 46% of provider fraud cases were due to duplicate billing and invoicing for services not needed. Sure, every provider makes mistakes. But if certain mistakes happen on a consistent basis they may have to answer to an audit from the government. It’s a very common invoicing error that happens when a doctor’s office charges a patient for the same procedure multiple times (among a few other things). As you can guess by the statistic, it also happens to be one of the most common ways providers face charges for fraud. My fifth statistic for you is that patients have paid nearly 1 billion dollars in billing mistakes involving severe malnutrition diagnosis codes. How does one branch of diagnosis codes end up costing patients so much money in error? Well, naturally, certain codes cost more money. To find this disparity, the Office of the Inspector General (OIG) and the Department of Health and Human Services (HHS) had to investigate. They found that many hospitals used two specific ICD-10 codes -- E41 which is Nutritional marasmus and E43 - Unspecified severe protein-calorie malnutrition. OIG concluded that almost 250,000 Medicare claims contained at least one of the codes between 2016 and 2017. They determined that facilities who used these codes should’ve used other malnutrition codes or none at all. Next, 70% of US patients aren’t motivated to get a second opinion. Why is this such an important statistic? Well, since a patient has such a high chance of receiving and erroneous statement from their doctor, it behooves them to get a second opinion. If they don’t, then it’s that much harder to realize that the amount they’re paying or their treatment is inaccurate. That’s the unfortunate reality that the majority of patients face, though. Although, they might be a little bit more motivated to seek out a second opinion if they knew some of the statistics I’ve mentioned during this video. The seventh statistic I have for you is only one-third of patients are confident that their medical bill is accurate. ► Reach out to Etactics @ https://www.etactics.com ►Subscribe: https://rb.gy/pso1fq to learn more tips and tricks in healthcare, health IT, and cybersecurity. ►Find us on LinkedIn:   / etactics-inc   ►Find us on Facebook:   / etacticsinc   #MedicalBillingError #BillingErrorStatistics