Absolutely. But it happens on the opposite side as well. I can say that major insurance companies have to deal with major hospitals (in addition to individual practices) miscoding stuff.
Not even because they want more money! It's more wrong vs correct. And is done just because "that's the way they've always done it" (and they're used to the insurance company fixing it on their side).
The biggest benefit of the move to automated processing and electronic records is it doesn't leave room for Dr. Sue and Mr. Green to have a non-policy understanding on how to handle claims.
It got things done, but it made it impossible to scale when you were trying to untangle 1,000,000 "special cases."
Not even because they want more money! It's more wrong vs correct. And is done just because "that's the way they've always done it" (and they're used to the insurance company fixing it on their side).
The biggest benefit of the move to automated processing and electronic records is it doesn't leave room for Dr. Sue and Mr. Green to have a non-policy understanding on how to handle claims.
It got things done, but it made it impossible to scale when you were trying to untangle 1,000,000 "special cases."