Does your medical biller work this hard for you?

Posted by Team PracticeForces on May 3 2017

If the answer is "No", or simply "I'm not sure", then keep reading.

 

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Today we'd like to share a real world experience of how our team took an insurance claim denial for a very specific reason, vigorously followed up with the insurance company for over a year to eventually release a $1,500 payment to one of our clients.

What happened?


The insurance company denied the claims for a PCP who takes CAPITATION patients. However, the physician was not getting paid for two patients who were seen in hospital but were not under her CAP list. It's a common problem for PCPs, one that is too often ignored.

What did PracticeForces do?

We followed up rigorously with the insurance company for over 1 year, until the $1,500 was paid in full to our client. The claims were from 2015 and early 2016, and pretty much everyone from the hierarchy was involved. Ultimately, it was a lot of work done on our part for $1,500, but it was the right thing to do and demonstrates our commitment to getting the doctor paid for the services rendered.

We're proud of this achievement, which perfectly summarizes PracticeForces' ethos. Take a look at our testimonials or check the full range of services.

 

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Topics: Improving Your Practice, Medical Claim Denials

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