Mr. Hamilton shared the following tip on LinkedIn:
“Important details such as when the billing process should take place, how claims are to be collected and the stipulated time for doing this should be made clear. Also, why claims can be denied and the process of appealing a denial should be stated,” Mr. Hamilton said.
“However, it is also important to develop a relationship with the payer’s agent to fast track the resolution process of claims denied or underpayment received. This is because insurance companies typically do not relate directly with providers. As such, providers would want to build a cordial partnership between the agents representing payers and their claims management team.”
More articles on coding, billing and collections:
10 things to know about ASC coding audits
Duplicate billing, missing codes & 4 more common reasons for denied claims at ASCs
Regent RCM: 4 internal auditing tips for ASCs
At the Becker’s 32nd Annual Meeting: The Business and Operations of ASCs, taking place October 29-31 in Chicago, ASC leaders, surgeons and healthcare executives will explore strategies to drive growth, enhance operational performance, navigate reimbursement challenges and prepare for the future of ambulatory surgery. Apply for complimentary registration now.