Hi! I am just looking for a general poll (as well as failure or success stories) as to how insurance denials, appeals, correspondence, etc are worked in a multispecialty clinic setting. I am working on revamping our current work model, but am trying to get a general idea of what other coders/billers are doing and how well it's working
From what I can see there are three options, if you decide to go with a centralized billing staff: Work by Payer (Medicare, BCBS, Medicaid, Etc), Work by Location (or specialty - work all payer mix for each location) or a Mixed Model (work Govt Payers by Payer, work all others by Specialty, varied mixes).
I'm looking forward to hearing how you have seen these process work and what types of successes (or failures) you have had/seen based on the setup of the workflow.
Thank you!
From what I can see there are three options, if you decide to go with a centralized billing staff: Work by Payer (Medicare, BCBS, Medicaid, Etc), Work by Location (or specialty - work all payer mix for each location) or a Mixed Model (work Govt Payers by Payer, work all others by Specialty, varied mixes).
I'm looking forward to hearing how you have seen these process work and what types of successes (or failures) you have had/seen based on the setup of the workflow.
Thank you!