Reimbursement

Appealing Denied Claims in the Fight for Reimbursement

Providers are fighting to be reimbursed for every dollar. Getting reimbursed properly requires back office staffs to diligently pay attention to changes in payor rules.

Reimbursement

Reimbursement defined

For physicians, reimbursement is about getting paid for what they have already done. After providing services, prescriptions, or advice, they are entitled to payment. For this to occur, medical coders, billers and practice managers must intervene. They try to document the correct CPT codes, with the correct modifiers, in the correct magic formula so insurance company will pay the practice correctly the first time. Otherwise several things may lead to denials such as missed modifiers, insurance-specific codes, new rules, and lost charges.

white plume platform

Accelerate your EMR,
PMIS & Practice Results
with Uncommonly
Low Risk

Learn More

START IMPROVING YOUR PRACTICE TODAY.  Contact us for additional information.

Accelerated Medical Practice Latest Blog Posts

Revenue Mining - Collect Every Dollar You Deserve
Most EMR templates, PM systems and scrubbers can edit on what is on the encounter.  Can your edits look for what’s ...
Meaningful Use - Do the Math
When the HITECH act was first introduced in 2009, it seemed like a really good deal for eligible providers who could buy...

Latest News White Plume In The News