decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 12 (December)
Improve payment speed by ‘assuming’ non-coverage
Subscribe or sign in to view the full article.
Article Overview
This article examines a practical reimbursement and claims-management strategy used by physician practices when payers delay or ignore claims. It explains the broader approach, why some practices consider it, and the types of preparatory steps and correspondence the article discusses. The piece is relevant to practice managers, billing staff, and physicians who handle payer disputes and patient billing policies.
Why This Topic Matters
Delayed claims can disrupt cash flow and create administrative burden for medical practices. Understanding the article’s topic helps readers evaluate payer-communication strategies and the compliance issues that may affect whether such an approach is appropriate in their own setting.
What You Will Learn
- How some practices respond to prolonged payer silence on submitted claims
- What general contract and state-law considerations are raised before billing a patient directly
- How written communication is used in the approach discussed by the article
- Why delayed-payment disputes can shift administrative pressure among payer, provider, and patient
Who Should Read This
- Physicians
- Practice managers
- Medical billing staff
- Revenue cycle staff
- Clinic administrators
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com