Before denials and resubmissions take a toll on your practice, have a game plan that gets you paid. Fighting with an insurance company to get claims paid can be difficult. Accounts receivable staff must be on top of their game because incoming payments are needed to pay the light bill, the doctor’s malpractice premium, our ...
Sep 1st, 2012
After the 2012 AAPC National Conference, a question was presented to AAPC’s Legal Advisory Board: Q: I recall a question and discussion at AAPC’s National Conference in Las Vegas about the coder/consultant who is aware of an overpayment. It seemed to me that your guidance could be interpreted to mean the individual had no obligation ...
Jun 1st, 2012
Let under-utilized appeals systems work for your practice. By Heather M. Shand, CMAA, CBCS, CMB Sometimes, even if you do everything right, you may end up with denied claims. Rather than throw up your hands and walk away, you should appeal. Yes, it will mean extra work, but the results are worth it: Most of ...
In Billing
Sep 22nd, 2010
Have you ever opened the mail and in the midst of all your payments you suddenly realize you seem to be participating with insurance companies you never heard of or don’t have contracts for? When reading the fine print you realize what network paid you. This is what is referred to as a silent PPO ...