Are you still sending your medical
insurance claims by way of "snail
mail"? If so, I highly recommend
submitting your medical claims
electronically, as you are definitely
missing out on the prompt turn-around
your medical practice deserves, or
possibly even requires. The significant
role electronically submitted medical
claims plays in your practice is
tremendous; in some cases it means the
difference between success and
failure.
Electronic submission of medical
claims just makes sense to your
practice. For instance, did you know
that when claims are received by
insurance carriers through electronic
submission, they take precedence over
the paper claim? Because of this,
electronic claims pay just days -
versus weeks or months when transmitted
via paper claims.
Please keep in mind, however, that
simply submitting claims electronically
is not enough; you must also make
certain you are reading the electronic
reports. If the electronic reports are
not read you are almost certain to lose
money. The content of these reports
contains extremely important
information; therefore it is imperative
to the financial health of your
practice that these reports are being
read and managed on a regular basis.
Not doing so will result in a complete
downward spiral of any practice's
accounts receivable.
The electronic report will enable
you to determine whether or not your
entire batch of claims was received.
You see, even though you may send the
batch, there is a good possibility that
it may not have been accepted by the
clearinghouse. As a matter of fact,
something as minor as a punctuation
mark or an incorrect space in an
address or insurance number can cause
an entire batch of electronically
submitted claims to be rejected. If you
are not checking your reports there's a
strong possibility that you're not
getting paid for the entire batch of
claims possibly due to one minor
clerical error.
You'll also want to be certain to
properly review and manage your
"specific payer reports". The
information contained within these
reports will provide you with such
information as whether or not a
patient's insurance is terminated, or
perhaps if the insurance is requesting
additional information before the claim
will be considered for payment, etc. If
these issues are not corrected the
claim will simply not result in
payment.
More often than not, the accounts
receivables suffer in a busy medical
office simply due to the lack of time
the office staff has to focus on the
billing end of the practice; it's
unfortunate, but when this occurs the
doctor has no idea just how many claims
remain unpaid. If by chance your
accounts receivable are not what you
think they should be, looking into a
professional medical billing service
could perhaps benefit your
practice.
In summary, a physician owes it to
himself to seriously consider a
professional medical billing
service and what this important
decision could mean to his practice's
health and well-being. I wish you the
best for your practice's success.