Why not?  A practice often finds itself overwhelmed with the day-to-day tasks of patient care.  With the ginormous  size and complexity of effort and expertise it takes to accurately bill and receive adjudication from insurance companies now;  it is no surprise that experts contend that medical  groups could be losing as much as 20 percent of potential revenue.  Couple that with the loss of a key employee and a practice could be in financial distress.

In today’s economy, it is important that the medical practice get every penny out of every claim they submit to insurance.   Most importantly, they must work diligently to ensure that not only every claim they submit has the highest probability of reimbursement , but that the reimbursement must be for the correct amount and not an underpayment.

Claims management is very important to a medical organization.  It is the highest priority of medical billing agencies.   What this means is that the work the provider and staff put in for that patient visit or procedure gets created into a claim that is submitted to the insurance company.  Then in turn, the practice is reimbursed as soon as possible.

Claims always need to be followed  up to make sure:

• the claim has reached the payer
• the payer has processed the claim
• whether the  claim has been adjudicated or denied
• denied  claims needs to be researched, corrected then resubmitted
• once the claim is finally reimbursed, it is so at the highest dollar amount possible

High claim revenues begin with due diligence and attention to detail.  The staff must make sure patient insurance information is up to date.  This often means that insurance card information must be collected, validated and entered into the system at every visit.   A professional then must enter the charges correctly.   The coder must code the procedures  according to coding standards and according to that particular insurance company’s  specifications.   Then the claim needs to be submitted to that insurance company in a timely fashion.   Timely fashion not only means submitting the claims before deadlines, but submitting the claims as soon as possible so that the medical practice can  income is realized in the least amount of time.

Good medical billing agencies like Medpro Services stays on top of all claims submitted to make sure they have been received and paid fastidiously and correctly by the insurance companies.   We alleviate extra costs and hassles for your practice.

Knowing  what you do now,  how can you not call Medpro Services?