(and didn’t even know you were playing?)
By Myndee Allen – Director of Strategic Development
You could be forfeiting your right to get paid and not even know it! The rules of medical billing are NOT always black and white, and they often change as the game proceeds. As a result, it is critical that you study up on your “opponent” and learn to anticipate EVERY move they are going to make!
I have spent the last 20 years in the medical industry uncovering the mystery of the unpaid insurance claim. Asking myself a series of questions on a regular basis and making sure I had the appropriate tools to successfully overturn THE HIDDEN 20%!
- Why do carriers deny claims?
- How do I identify and trend the denials in a way that has a positive impact to the bottom line?
- How do I track my team’s productivity and effectiveness?
- How do I ensure my team has a full understanding of what specific actions need to be taken based on denial and carrier?
That’s RIGHT! On average, 20% of claims filed to insurance carriers are typically denied for one reason or another. The “game” is won by those who know how to quickly identify denied claims and diligently work towards a quick resolution!
During this series we are going to dive into the world of AR Recovery; digging into the Who, What, Why, Where and How of denied claims.
We will delve into topics like how to effectively work a denied claim, the importance of timely claim filing and consistent follow up, fighting STEALTH recoups and many MORE!
Join me next time for The Clock is Ticking, where we will focus on the importance of initial timely filing and prompt appeals.
