Complicated regulations with constant changes - Rules and regulations around the medical industry are always changing, and often hard to understand without proper insight into the industry. Keeping a constant track of these can get difficult without any help from a professional team who understand this field thoroughly.

Coding accuracy - Coding systems used in the medical sector are detailed and contrasting to other coding systems. The use of multiple coding frameworks, such as ICD-10 for diagnoses and CPT for services, can be intricate and confusing. All the mentioned healthcare coding systems are annually updated as well.

Large number of claims - Running a behavioral and mental health center means dealing with a lot of patients at once. Each patient comes with a different claim, attending to each with limited support can lead to errors and increased unnecessary workload.

Time consuming tasks of insurance verification - No patient has similar insurance coverage. To verify each while handling multiple other elements of behavioral and mental health practice is a time consuming task and not a single-person job.

Handling denials and rejections - If in any case a claim is denied or rejected, the process of re-submission needs to be carried out. Understanding why the claim was denied, re-verifying the claim, and re-submission requires a thorough understanding of insurance claims. Having to handle multiple denials at once is bound to hamper the smooth workflow of the practice.

Data entry mistakes - Information such as patient details, insurance details, and addresses are the backbone of insurance claims. Having to deal with loads of information all at once can be overwhelming and can cause errors while filling in the details. Entering wrong ICD-10 codes can lead to incorrect billing that eventually leads to claims being rejected.

Advancing technology - Medical billing and coding softwares are always being updated. Understanding these and implementing them effectively requires lots of time, effort and even money to invest in these to be able to use them.

Patient billing issues - Each insurance company has unique billing rules, coverage limits, and pre-authorization requirements. These differences complicate the billing process.

Constant upkeep with training and education of coding, current billing standards - Having an in-house team that handles billing means to constantly provide them with training, keeping them up to date with billing standards and laws. This eventually increases overhead costs.

Miscommunication - Documentation gaps, insurance company coordination, reasons of claim denials and irregular follow-ups are a few to name when miscommunication occurs.