Faster Claims Processing

Today, there is a very high rate of a medical claim appeals denial that has substantially reduced practices’ revenue. A significant amount of the submitted medical claims end up being denied for several reasons, cutting into revenues.

This is why it’s always best to work with a professional group with experience in medical claim appeals and tracking, like PremierPro Billing. Here are just some of the common pitfalls in the tracking process that we endeavor to avoid:

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Always verify the eligibility of the patients

This is sometimes known as benefit verification. The verification process is crucial for the proper reimbursement of claims filed to the insurance payers. We begin this process by checking the eligibility status of every patient, verifying coverage for services, insurance COB, referrals, claims mailing address, patient responsibility, in- network/out-of-network benefits, and prior authorization requirements.

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Avoid duplicate billing

Another reason why you may encounter medical claim denial is duplicate billing. Medical duplicate billing can be caused by a variety of reasons, including mistakes made by your staff when submitting or tracking medical claims. Therefore, any time that you find yourself involved with medical claims tracking or submission, the whole process must be carefully overseen to avoid mistakes.

With such significant consequences to these mistakes, you can’t afford to cut any corners. Work with PremierPro Billing, and benefit from over 10 years of experience providing claim tracking services and claim appeals services.