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Account Receivables Follow up Solutions
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Increasing Account Receivables is one of the
major problems faced by providers throughout the U.S.
Claims are being constantly rejected by the insurance
companies. Medical Billing needs to be done by
thorough professionals who have good experience and knowledge
about the billing scenario. Billing
can not be termed as a Data Entry Process. Rejections are
largely due to the following reasons
Incorrect Patient Statistics :
Incorrect Insurance id's, group numbers, social security numbers,
effective
dates, dates last seen, incorrect date of services etc
Incorrect Procedure - Diagnosis Combinations :
claims posted with non supporting or incorrect diagnosis
codes or procedure codes etc.
Codes : Incorrect Place of service,
Type of service codes, Rendering provider or Referring provider
numbers, missing group practice information etc
Insurance Policy
: Policy had expired at the date of service or Insurance does not
cover the particular
procedure/diagnoses. Sometimes claims go to the wrong
insurance company.
Further Documents Necessary : Certain
Medical Records or Progress notes need to be sent along again
with the claim to the insurance company. These claims need to
be sent separately on paper
Incorrect Modifiers : Certain claims
are rejected due to missing or wrong HCPCS modifiers.
Misinterpretation of Insurance Information
: Sometimes the person seen by the doctor is not the person
insured but the insured person is a close
relative/spouse/guardian of the patient. These cases are to be
billed on the insured persons name with complete information.
If not done accordingly these cases get
rejected.
Billcorp offers Account Receivables Follow
up solutions for providers who are unable to bring down their
A/R. We require access to your Billing System, where we learn
and understand it correctly and then get
after the A/R. A/R is done through the following two ways:
EOB's :
Proper scrutiny of the past Eob's. We eliminate any errors that may have
originally led to
rejection. We may have to contact the patients/insurance
companies/adjustors/guarantors to
obtain complete information and then thrash out the claim
Superbills
: Receivables are also from superbills that were never billed so we need
to go through your
records in order to find out each and every minute detail. We even run
reports and find
out about the collections and the shortcomings.
We work 24/7
which gives us appropriate speed as you already know that pace is
absolutely important
in eliminating accounts receivables. Longer it lingers on, lower
are the chances of recovering the A/R.
You are also aware of Insurance company deadline - both for filing
and for refilling. Workers comp and
Auto injury (PI) are particularly urgent. Our strategy is to
prioritize the claims/jobs that have a nearer
deadlines and work on them instantly.
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