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Recently, the insurance provider Cigna has been accused of underpaying claims submitted for mental health treatments by healthcare professionals and patients. Insurance plans now include mental health coverage, which has generated lawsuits surrounding the reimbursements for these services. These claims according to a news release from Bloomberg law.
These lawsuits display some of the complexities that are involved in the insurance claims process. It is sometimes a challenge to correctly submit claims to insurance providers in a timely manner. Especially when taking into consideration the need for a pre authorization for certain procedures and treatments.
In order to successfully navigate these requirements, it is often wiser to outsource the billing and credentialing process to organizations whom specialize in these tasks. A company that specializes in medical billing and credentialing will have the capabilities that are needed to streamline most of the revenue cycle management process.
The staff at Harvest Medical Billing knows applicable federal mandates and most current insurance reimbursement trends. This includes helping medical providers understand the standard reimbursement rate the most insurance companies give to facilities and centers. Sometimes this includes accepting a lower reimbursement rate in order to get a medical practice fully operational as quickly as possible. Never fear, that's why we are here.
Medical offices sometimes struggle with staying on top of their medical billing requirements. In previous decades, there was much less paperwork, legal regulations, and guidelines to follow. Now medical back offices must comply with an increasing amount of regulation and policies. At the same time, they need to properly utilize a PM, EMR as well as other computer systems.
Healthcare professionals are trained to focus on the patients, not the payments and financials. For these requirements, it makes more sense to outsource this function to companies that focus only on these tasks. The fact an organization can exclusively focus on medical billing tasks means that they become very proficient at submitting and monitoring insurance claims.
Here at Harvest Medical Billing we have staff who are dedicated to corresponding with numerous insurance payers on a daily basis. They are familiar with a variety of billing systems, clearinghouses and EHRs. Through volume repetition, our medical billing staff is more knowledgeable and efficient at optimizing reimbursements and avoiding obstacles. When problems do arise, they have the ability to make extensive phone calls and emails in order to find a solution.
Give us a call @ Harvest MB to learn more!
(810) 339-6949 Ext. 201
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