Download Support Tool There are a variety of patient types and each of them must be considered when making a business decision with regards to the practice’s financial set up. If you decide to accept all patient types, you will need to count the cost. This can only be done by properly evaluating what is…
Managing Appeals Effectively and Efficiently
Navigating the choppy waters of the Appeals Process can be confusing and frustrating at best, but with a little research and insight, you can come out on top when challenging a denial. In the first tutorial, we address general claims, the reasons for denials, when an appeal might be appropriate, how to mount the appeal,…
Personal Injury Follow Up – Attorneys
PI Follow Up An important part of accounts receivable and its follow up process revolves around Personal Injury cases. When a patient receiving care for a PI has no insurance of his/her own and asks you to wait until the settlement is paid, s/he is asking you to “hold a lien.” Unfortunately, some states have…
Paper Claims Billing
Not all payers accept electronic billing. Especially those Personal Injury or Worker’s Compensation payers. The process for billing is not different from electronic, other than all the “scrubbing” must be done by a human, not a machine. Understanding the process of sending paper claims correctly and efficiently will be a boom to your cash flow….
FAQs-Personal Injury Verification
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…
The Silent PPO Sting
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…