Practice Management Alert

You Be the Billing Expert:

Recouping Missed Payments

Question: Ive landed a job with a private practice where no one seems to follow up on unpaid claims. I am finding open claims for 2005-2007 that were sent to insurance but the practice never received a response. The original claims met the timely filing deadlines. Can I pursue the money, or should it just be written off? Colorado Subscriber Answer: The insurance companies accept the payer claim acceptance reports to the electronic clearing-houses as proof of timely filing. If your practice kept copies of these reports, you can prove that the practice submitted the claims in a timely basis, and you can fight for payment. Keep in mind: Depending on the clearing-house that your practice uses, you may be able to ask the clearing-house for copies of the payer claim acceptance reports for the practice to prove timely filing. If you have access to those reports through the clearinghouse, [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in Revenue Cycle Insider
  • 6 annual AAPC-approved CEUs
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

Practice Management Alert

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.