It’s a lot to give premium treatment to your patients and handle the financials. Gables Medical Billing can help you learn more about the best practices while handling your medical billing and following your claim to reimbursement. Here are the things you need to know:
- Payer requirements.
- Every payer is different, requiring a different treatment to be given to each claim you file. The fee schedules are even different. You should always ensure the patient and procedure, or service, are covered. You also need to know what documentation and modifiers need to be in place.
- Denial prevention.
- Ensure you’ve confirmed the insurance coverage, and coverage of procedure for the patient is required. Get secondary and tertiary insurance information as well as any and all authorizations. When submitting the claim make sure that you use all of the correct procedure codes and identification information. You should also use all modifiers properly where needed.
- Make time to correct and resubmit denied or rejected claims.
- Review claims when they’re not reimbursed, these claims will show you things you need to focus on. Get the most from your revenue cycle, so you can receive proper reimbursement.
Or, you could let us run your revenue cycle. Partnering with our team at Gables Medical Billing will take the burden of reimbursement off of you and your team’s shoulders and improve your patient satisfaction in the process.
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