Delayed Payments from Coding Errors Triggering Rejections and Rework

$1,000-2,000 per incident in hospital relationship damage; contract risk • $1,200-2,400/month per FTE in delayed cash flow; 15-20 day extension of A/R cycle per claim • $10–$25 per affected claim in combined labor from Client Services, billing, and provider office staff, plus lost revenue when documentation never arrives before timely filing limits, leading to write-offs and strained provider relationships that can cost entire accounts.

Billing Manager maintains offline lookup tables for CLIA numbers in Excel; manually cross-references payer bulletins for Medicare coding updates • Billing Manager maintains payer-specific spreadsheets for coding rules; manually calls payer phone lines to verify coverage before claim submission • Client Services rep tracks problem claims and payer callbacks in personal spreadsheets and email folders, keeps notes from payer calls on paper or in Outlook, and chases billing/coding by phone or chat to get corrections made.