Seek Outside Help For Lingering Payer, Claims Issues
Published on Mon Aug 24, 2009
When a problem payer won't communicate, lean on your colleagues for support. What if you take the recommended first three steps to deal with problem payers, but the payer still isn't responding or reimbursing you appropriately? Tap your peers and possibly even your state insurance commissioner. In last month's Medical Office Billing & Collections Alert, you learned about solving payer problems by researching policies, contacting payers, and refiling claims (see "Master the Art of Working With -- Or Around -- Problem Payers" Vol. 9, No. 8). If these tactics don't resolve the issues, move on to these additional tasks. Step 4: Expand Your Research Beyond Your Practice Talk to other practices in your geographical area and within the same specialty. Find out if other practices are having similar issues and, if so, how they are dealing with them. Here's how: Find out if others are experiencing similar problems with three tactics: • [...]
