As a physician, you perform a service, file an insurance claim, and get paid … sometimes. Delayed, denied, and incorrectly paid claims are, unfortunately, "business as usual" in today's medical practices. TMA Practice Consulting offers these tips for staying ahead of the payers:
1. If possible, assign insurance follow-up staff members to particular payers, so they become familiar with those plans.
2. Don't automatically refile claims that are denied or delayed. Follow up with a phone call first.
3. Prioritize follow-up efforts. The goal is to bring revenue into the practice, so first work the high-dollar claims and those that can be dispatched easily.
4. Implement a process for tracking and monitoring claims.
5. Remember, staff errors can serve as a training opportunity. By identifying problem areas in staff performance, you can alter procedures and establish guidelines for better operations.
Mired in unpaid claims? TMA Practice Consulting can help you streamline your insurance filing and follow-up procedures as well as other aspects of your practice operations that affect your bottom line.
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