Insurance claims billing has never been easy. At WCH Service Bureau, we know how hard it is to balance between providing top-quality services to your patients and submitting thousands of claims to benefit plans. In fact, some of our clients believe that revenue cycle management is at times more complex than the service itself. Imagine knowing all the nuances of medical coding and reimbursement while also providing top-quality care to your patients. These things can literally and figuratively play on people’s nerves!
If you have ever submitted a claim to an insurance company, you probably know what it is like to experience the following aspects:
· Rejections
· Denials
· Recoupments
· Audits
· New difficult payment policies
These issues can be easily dealt with, or even eliminated if you take prompt action and reform your revenue cycle management processes. We recommend doing the following things:
· I. Setting up a clear-cut eligibility verification process
Inconsistencies in insurance coverage information are among the leading reasons for claim denials. Once you start regularly & effectively checking your patients’ eligibility prior to rendering services, your denial rate will decrease exponentially.
· II. Imposing a strict billing verification procedure
Most of claim rejections can be prevented prior to even submitting a claim. At WCH Service Bureau, we check the information on every claim prior to sending it to a payer. A seemingly minor typo or an incorrectly appended modifier may be a root cause of a disaster.
· III. Working on your denials and underpayments swiftly and on a case-by-case basis
“Piling up” your claims and working on them at a later date is not a good idea. Many insurance carriers have timely filing requirements even for claim reconsideration requests. Therefore, it is better to reprocess an underpaid claim shortly after the denial date.
If you are a neurologist, we have some good news for you!
All the above-mentioned issues can be effectively minimized with a minimum of your involvement. All you need to do is to outsource your claims billing to the professionals!
WCH Service Bureau is pleased to offer an all-encompassing medical billing solution tailored for your practice. We bill, check, submit and work on the claims for each of the six levels of surgical pathology services. Our billing experts have over 20 years of experience in dealing with underpayments, insurance appeals, and medical necessity review programs. In 2021 alone, we have submitted 2357 claims for surgical pathology services to various insurance plans from New York and New Jersey, 114 of which had initially been denied, but then appealed and reimbursed accordingly. With us, 97% of your insurance claims will be paid in full.
Interested? Contact us using the phone number at the top of the homepage!
