how to overcome coding errors
This billing botch focuses on coding errors and mismatches.
Common issues include upcoding, downcoding, wrong modifiers, and mismatched diagnosis/procedure codes. These problems increase claim denials, audit risk, and reduce provider revenue—leading to more rework.
To ease the burden, Medisoft includes tools that help catch coding problems early.
Regular Training Helps—But So Do Built-In Tools
Ongoing coder education is important, but Medisoft also offers features like Transaction Alerts and Advanced Claim Scrubbing that help prevent mistakes during billing.
Transaction Alerts
This customizable feature allows you to create alerts based on specific criteria—such as when a certain insurance is used with a specific procedure code.
How it works:
Go to List > Transaction Entry Alerts in Medisoft.
Click New to create a new alert.
Choose the insurance, procedure code, or diagnosis code that should trigger the alert.
Customize the pop-up message.
Example:
If a patient has Medicare and the procedure code is 99213, you can create an alert that says: “Remember to add modifier AB.”
When your biller saves the transaction, the alert pops up as a reminder. They can choose to cancel and make corrections before proceeding.
This helps catch recurring errors and reduce denials due to missing details.
Advanced Claim Scrubbing
Medisoft already performs basic claim validation through eMEDIX, but advanced scrubbing takes it further. It checks each claim against payer-specific edits in real-time.
Identifies invalid codes
Flags outdated or inactive diagnosis codes
Highlights missing policy info or mismatched billing data
This is especially helpful for practices that submit a large variety of codes across multiple payers. It’s like having a second biller reviewing every claim before it goes out.
Note: This is an optional service that adds deeper edits beyond standard clearinghouse checks.
Final Thoughts
If you’re sending out claims with missing or incorrect information, you’re leaving money on the table and inviting rework. Use tools like Transaction Alerts and Advanced Claim Scrubbing to catch issues before they become problems. The more you can automate these checks, the more time your team saves—and the faster you get paid.
About AZCOMP Technologies
AZCOMP Technologies is the #1 Medisoft dealer in the nation, trusted by more medical practices than any other Medisoft partner. Since 2000, we’ve been helping independent practices streamline their billing, improve patient collections, and get the most out of their software. From expert Medisoft support and training to full-service revenue cycle solutions, we’re here to make your practice more efficient, profitable, and stress-free.
Want to learn more about Medisoft tips, tools, and services that save you time? Visit our blog or schedule a consultation today.
