Thursday, April 2, 2009

Denials are not always clear cut ! The hunt is on!

After being a successfull medical biller for several years, there are thing about the insurance carriers that you just figure out.
For example, insurance carriers "mistakenly" deny claims occasionally.
Yup, it is true. I know how shocked you are! LOL.
Anyway, the PAIN of this is that it is YOUR job, as a professional medical biller to follow up on those denials, offering outstanding medical billing service.
It is a painful fight, but understand that insurance carrier often deny a claim because A.) they can B.) They doubt anyone has the time to challenge it C.)they can - yes, I said that twice.
The point is that it is challenging to followup on every single denial. The good news is that MOST carriers give you one entire year to challenge a denial, so breathe.
You have a lot going on as a medical biller. This is just one more piece of the pie.
Good luck and visit www.MedicalBillingFoundation.com for more info!

No comments: