Appealing Denied Medical Billing Claims

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When claims get denied by payers, it is crucially important to appeal the denied claims to get the payments. However, the appeals process can be a very time-taking one because of the processes involved. Also, appealing claims according to due process is the key to receive payments against denied claims. For instance, filing a medicare appeal involves five levels in Part A and Part B appeals process, so it is important to properly understand the process before filing an appeal and a medical billing expert will not only understand but also file appeals accordingly. Moreover, a medical biller should make all appeal requests in writing and file all requests on time, and that too with the appropriate entity.It is also necessary to attach all the required documementation as well with the denied claim appeals. And if the payer requests more documents regarding your appeal, these documents must be provided promptly. Some of the healthcare providers do not dedicate proper time to studying claim denials and filing appeals and understandably so. This is because it is not the primary task of medical office staff to deal with medical billing and coding. Private practices can outsource medical billing services from a billing company that will not only take care of medical billing and coding, but also appeal the denied claims. However, it is crucial to partner up with one of the best medical billing companies to get the best results.

In this article, we will list a few questions to ask billing companies you are considering for your practice because it can be a bit tricky to choose the best one for your practice from so many companies. First, let’s take a look at some more benefits of outsourced medical billing services.

●     It costs less when you outsource medical billing services as compared to hiring billing staff in your medical office.

●     Best medical billing companies in the United States will tend to follow the industry best practices and protocols to safeguard patient data from hackers and data leakage.

●     Compliance with the everchanging regulations in the healthcare industry is important but it might not be easy for small practices, but top billing companies will ensure compliance.

Questions to Ask Billing Companies

●     Will you manage denials?

●     Will you send us reports?

●     Can you provide references?

●     What is your HIPPA compliance level?

Medical Billing Companies

●     AthenaCollector

●     ChartLogic

●     BillingFreedom

●     eClinicalWorks

●     CureMD

●     Medical Billers and Coders (MBC)

●     MTBC PracticePro