Frequently Asked Questions- Personal Injury Q: What is a personal injury? A: A serious, harmful act to a person or persons as a result of someone else’s negligence. Q: What does Personal Injury cover? A: Medical expenses, lost wages, accident-related injuries, and funeral expenses. Q: Do I collect money from the personal injury patient after…
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Support Tool It is always helpful to see an example when trying to implement a new process. This support tool is a sample of a completed verification form. Use it as a guideline when attempting to verify personal injury cases. It is a great tool to reference when training other team members to share the…
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Support Tool Hopefully, the information offered in this module has provided the clinic a reason to implement personal injury verification. The module contains helpful tools to help you succeed with this task. Download and customize the Support Tool titled Personal Injury Insurance Verification Form. Save the Support Tool to your desktop or to a folder…
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Situation Action Look closely at the language in the payer contract Before credentialing, look for “all payers” language in the payer contract. Select Find in the PDF version of the contract and key in “all payers” and then scan the contract. This clause gives the payer the right to sell your…
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Have You Been Stung by a Silent PPO? Have you ever submitted a claim to a personal injury carrier and then received a payment from a completely different party? Or you submitted a claim, and the payment comes at a discounted rate as if you were in network with a health plan? If you answer…
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A Discount Without Prior Knowledge The term ‘silent PPO’ was coined in the mid-1990s to describe a network that allows access to its health care provider list and their associated reimbursement discounts. “Silent PPO” is the term used to describe the situation of a non-contracted payer or plan administrator who applies a contracted payer’s fee…
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