Part 2:
Seek Outside Help for Lingering Payer, Claims Issues
Published on Sun Sep 20, 2009
When a payer won't communicate, lean on your colleagues for support. What if you take the recommended first two steps to deal with problem payers but the payer still isn't responding or reimbursing you appropriately? Tap your peers and possibly even your state insurance commissioner. In last month's Podiatry Coding & Billing Alert, you learned about solving payer problems by researching policies and contacting payers (see "Master the Art of Working With -- Or Around --Problem Payers," Vol.1, No. 3). If these tactics don't resolve the issues, move on to these additional tasks. Step 3: Refile If Necessary Whether the issue is a payment delay or an improper denial, you will likely want to refile your claim. For a payment delay, resend your claim and include a letter explaining when you sent the first claim and telling the payer you expect timely payment. You can also include a proof of timely [...]