Everyone wants to submit a clean claim the first time. Never having to resubmit a claim again. How can we help this process from the outset? To start you should be letting Gables Medical Billing help you with your submissions and observe your claims during the adjudication process. We also know the best ways that you can begin your claim on the right foot:
Patient benefits? Verified!
Once you’re processing the information prior to the appointment: Call the payer to check for deductibles, co-insurance responsibilities, copayments, and check all prior authorization needs, if any.
Check-in time.
Demographic information? Collected! Copy of insurance card? Made, front and back! Collect a copy of the patient’s government-issued identification and place it in the patient file, or record.
Review, review, review!
Your goal should be to have the claim in adjudication within 72 hours. Prior to submission, review everything several times, that way if scrubbing needs to happen, you’ll have all your i’s dotted and t’s crossed.
Be a team player.
You will need to deal with the payer if you don’t come to Gables Medical Billing and allow our all-star team to alleviate your staff from billing duties. It’s essential that at every level and point you need to approach your interactions as if you’re everyone’s teammate. Getting this medical claim paid is the only goal. And you’re the star kicker.
Follow up during adjudication.
It seems like a no-brainer, but it could fall by the wayside. Monitor your reports and ensure to verify the claim at every stop it will make… Gables Medical Billing would love to do this for you, because we know how involved this process can be and that your staff needs to worry about your patient satisfaction not which claim is pending.