decisionhealth Newsletters, Coder Pink Sheets - 2009 Issue 7 (July)
Fighting payer runaround
Subscribe or sign in to view the full article.
Article Overview
This article discusses a provider’s experience with prolonged claim-payment delays and the kinds of administrative follow-up strategies suggested by an insurance expert. It is aimed at coders, billing staff, and practice managers who handle payer communications and claim resolution. The piece focuses on general claims workflow issues, escalation options, and the broader administrative burden of working with health plans.
Why This Topic Matters
Delayed or unresolved claims can create cash-flow problems and add significant administrative burden for practices. Understanding the general escalation approaches covered in the article may help staff decide when to move beyond routine follow-up and seek higher-level review.
What You Will Learn
- How prolonged payer claim delays can affect practice operations
- General escalation approaches for unresolved insurance claims
- Why claims follow-up can require persistence and documentation
- How provider offices may respond when routine contacts do not resolve payment issues
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle staff
- Healthcare administrators
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com