Have you ever called a carrier and asked why something was denied? If you work in a rheumatology practice, chances are you have, and you probably hung up feeling even more confused than before you made the call.
ACR Coding and Reimbursement Specialist Melesia Tillman, CPC, CCP, jokingly says, “This is the insurance company’s sneaky way to drive you all mad,” but she knows the joke often seems to be on the confused caller who is trying to provide quality care for a patient.
With nearly 20 years of previous experience working directly for insurance carriers, Tillman has come to the conclusion that, “to survive in today’s insurance game, your staff should be fully aware of what a carrier is actually requesting from you in order to get your claims processed correctly.” It is frustrating to discover that many of the quirks of the system cannot be worked around, but understanding why you are told certain things and noting what steps you can take to move things along will help you better run your practice and save you time, energy, and frustration.
Tillman gives you an insider’s perspective to five commonly asked questions about insurance carriers: