Our staff has a good understanding of the general reasons for claim denial such as under-coding or up-coding of medical claims, improper usage or non-usage of modifiers, not meeting medical necessity, ABN policies, payer agreements, improper demographics, improper verification of eligibility and benefits, contracts between payers and providers.
We interpret, analyze and identify systemic underpayments by payers at the individual claim level.
We do consistent, personalized, courteous follow-up on all accounts with outstanding balances.
We have excellent AR follow-up skills to call upon payers, enquire about the correct reasons for denial and work as per their clarification and getting the claim paid.
We follow-up on unpaid claims right on the 21st day and appropriate action is taken immediately.