How are Medical Coding Systems Reducing Occurrence of Insurance Frauds?
The rising prevalence of insurance frauds in the healthcare industry is propelling the demand for medical coding solutions around the world. These insurance frauds cause huge financial losses amounting to billions of dollars, according to the observations of the National Health Care Anti-Fraud Association (NHCAA). In the U.S., nearly $3.6 trillion was spent on various healthcare services including expenditure for healthcare services and goods, net cost of health insurance, public health activities, and investments related to healthcare, in 2018. The adoption of medical coding solutions and billing standards allows medical billers to create uniform checklists that are to be strictly followed as per the process claims. Moreover, the presence of various irregularities and inconsistencies in these checklists allows medical billers to spot frauds before the submission of the document to an insurance firm. Apart from the growing incidence of insurance frauds, the rising requirement for mod