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Denial Management – Check on the web or Call?
by Angela Scott Medical Billing and CodingDenial Management – Check
on the web or Call?
Denials
are a big problem faced by both healthcare facilities and individual
physicians. Even though they take concerted efforts on medical claims processing, claims do get
denied by the payer for several reasons. Claims can be re-sent to the insurance
company but only on learning the status of the denied medical claims. Till
recently, physicians and healthcare practices had only the option of making calls
to learn for what reason their claims got denied. However, this situation
changed with recent technological enhancements in the internet and medical
insurance billing domain. Now, checking the status of the denied claims is just
a few clicks away! Let’s do a detailed analysis on both traditional and modern
ways,
Traditional Method: As
discussed earlier, physician practices and healthcare facilities made calls to
insurance companies to learn the status of their rejected claims. Calls can be
made only during US business hours and some of them might consume a lot of time
to reach the right person in charge. However, one can still enjoy the benefits
of this traditional method by disregarding the above mentioned facts.
Individual physician practices and healthcare facilities get an elaborated
explanation on their denied medical billing claims through the calls. It highly
helps them in performing their medical claims processing perfectly next time.
Modern Method: In
recent times, most insurance companies maintain their own
websites in which they update denied claims and their status. Therefore, a
physician or healthcare facility registered with the particular insurance
payer’s website can login to their account and view the status easily. It takes
only a few minutes to check, however if the reason stated is not clear, then
the physician has to take up the traditional of calling to ascertain the exact reasons. Once
the clarification is made through call, further steps in medical claims
processing can be taken.
Thus,
the traditional way of making calls and the modern way of checking on the web
to learn the status of denied claims go hand in hand. Using both methods can
help physicians and healthcare facilities get a better understanding on where
they went wrong in the medical insurance billing process. We cannot deny the
fact that both the methods are very important; disregarding any of the two ways
will not help to manage the denial effectively. For exceptional denial management, outsourcing
a part of medical claims processing to an offshore company like e-Care India that
does a ‘full-court press’ will be a great idea.
About e-Care India:
e-Care
India is one of the renowned medical billing companies in India that promises
the above mentioned benefits with total customer satisfaction. With 12 years of
experience in the industry, e-Care’s offshore medical billing delivery centers
have been providing end-to-end medical billing services seamlessly to its
clients. To know more about e-Care and its services, log on to
www.ecareindia.com
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About Angela Scott 
Medical Billing and Coding
0 connections, 0 recommendations, 4 honor points.Joined APSense since, August 22nd, 2013, From Chennai, India.
Created on Dec 31st 1969 18:00. Viewed 0 times.
