If you are struggling to keep up with all of the daily billing and coding tasks associated with your medical practice, we completely understand. In the world of durable medical equipment (DME), therapy, medical, dental, and across the healthcare spectrum, Revenue Cycle Management (RCM) is an essential part of achieving and maintaining professional success, and you might not have time to handle it all yourself. When you are finally tired of stretching yourself thin, talk to a team of RCM resources about your options in a more streamlined approach to ensure timely filing.
At Medical Auditing Solutions, we know the importance of doing things well. If your office is overwhelmed by your number of claims, you might start to send them in later and later, and there comes a point where this becomes a problem. All insurance companies set timeframes for claim submissions, and if you or your staff waits too long, it can become a hassle or worse. It is critical to be thorough and accurate from the start, and MAS can help with dedicated revenue cycle services. Call us today at 972-459-1508 to learn more!
Holding Onto Claims Can Hold Your Practice Back
Private insurance payers and government entities all have timely filing deadlines to receive your initial claim. These time frames are getting shorter and shorter. Know what your contract says for timely filing and appeals. Be sure to read any new contracts as many are limiting the levels of appeals.
One common mistake that medical and dental professionals make is to wait too long to file an insurance claim. Every insurance company has their own timeframes for filing, and it is important for your office to be aware of them at all levels. Denied claims need to be daily to ensure corrections are made and resubmitted as corrected and appealed claims have timely filing deadlines also. Secondary claims need to be submitted with the primary payer explanation of benefits within a time frame as well. This means arming yourself with the knowledge of not only initial claims, but secondary claims, resubmissions and corrections, and all appeal levels.
Failure To Respond Is Becoming A Growing Problem
It is equally as important to respond to CERT audits from Medicare and other payer communication timely as failure to respond results in 100% error rate, overpayment, and limited appeal options along with risk of prepayment audit or denial. In the Novitas provider education and outreach call today, failing to respond is becoming a growing problem. Commercial payers and those with advantage plans are sending communication through their portal! Make sure you have current employees with access to those portals that get notifications and gather records for the provider to review before responding. Keep track of those deadlines!
Payer new and renewed contracts are frequently showing limited appeal options so the days of 1-2-3-4 appeal levels are beginning to be a thing of the past. Do not just sign the new contract with a payer, review it carefully as this can be a costly oversight when your staff does not respond with complete records in the first request.
Every insurance company and plan have timely filing limits, irrespective of the type of provider, whether medical, dental, mental health, DME, hospital, etc. Providers cannot afford to lose claims to timely filing.
Tired Of Handling Things On Your Own?
All this can be a lot for one practice to handle on their own, or they could have too many denials for timely filing, and if you are looking for a solution, we can help you to navigate the world of billing and coding. Implementing policies and procedures that take a continued look at any outstanding claims can be a help, for example. Our team understands that your time is valuable, and we want your office to be efficient, accurate, and complete.
Ensure Timely Filing With Medical Auditing Solutions
For support in timely claim submission or the development of effective procedures, give us a call. To find out more about the importance of timely filing, talk to our team at Medical Auditing Solutions at (972) 459-1508 today!