Providers lose m illions in unpai d claims. Here’s why your claims are agi ng, and what you can do to improve reimbursement rates.
Improper Treatment Documentation
Many payers pre-approve treatment but do not guarantee payment unless certain standards are met. For this reason it’s crucial that your staff be familiar with payer standards and guidelines when it comes to the timeliness of treatment delivery. (You may, for example, get pre-approved, but only reimbursed if the appropriate assessments were completed in the payer-mandated time frames.)
This is no easy task – as all payers have different standards and protocols.
One Big Solution for Claims in Aging: An Interdisciplinary Approach
It can be extremely difficult for a small team to keep abreast of payer standards and guidelines, while dealing with a full patient load. This is why we use an interdisciplinary approach to billing – employing collectors, forensic billers and clinical consultants to communicate with payers, find billing errors, and train our client’s staff on best practices.
This way, you can avoid having future claims in aging, while collecting payment on unpaid claims.
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866-731-6777 – info@panaceahcs.com
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