Check Patient Statements

In recent meetings with practices and billers, the need to review patient statements before they are mailed or emailed have become increasingly evident.

With insurance companies reimbursing less and rejecting and denying more (for a plethora of absurd reasons), it is imperative that we make sure the balance our patients are seeing as their responsibility, actually is.

What I have been seeing is the opposite. Sometimes it is because a claim comes back as “out of network provider” when he or she is not, a service has been bundled inappropriately and needs to be appealed, or a secondary payer has not yet responded (maybe there is an issue with crossover claims in general).

So, before your next batch of statements are sent (this should happen every 2 weeks instead of once a month to limit the number of billing related calls to the office- no matter if you outsource or do it in house), have someone review each one. Spending this time now will save you lots of aggravation in the future.

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