TS4MO Newsletter - FALL 2011
5 Ways Life With TS4MO is BETTER!
working together... finding solutions
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E-Mail: info@t4mo.com
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In times like these there isn't a better solution than outsourcing your medical billing to TS4MO Medical Billing Services. We will help control your costs and improve your revenue through increased reimbursements and decreased denials. Go to www.TS4MO.com to find out more!
1. Patient Recalls
Our patient recall system tracks outstanding, scheduled, and completed patient recalls.
2. Referral Reports
We can track and report your referring providers so that you can maintain those continued relationships.
3. Missing Superbill Report
We track your superbills that have not yet been posted to ensure you are billing for all of your services.
4. Denied Claims
We track and analyze all of your claim denials and report back to your office any denial trends that are identified.
5. We focus on maximizing your billing potential so you can focus on great patient care!
Our patient recall system tracks outstanding, scheduled, and completed patient recalls.
2. Referral Reports
We can track and report your referring providers so that you can maintain those continued relationships.
3. Missing Superbill Report
We track your superbills that have not yet been posted to ensure you are billing for all of your services.
4. Denied Claims
We track and analyze all of your claim denials and report back to your office any denial trends that are identified.
5. We focus on maximizing your billing potential so you can focus on great patient care!
Practice Management powered by:
Insight™
Insight™
Fall is here and for some of us we have an extra hour due to "daylight savings time". Unfortunately the added hour won't help for those who have "timely filing" denials.
Do you have lost revenue due to “untimely filing” of claims?
Each insurance carrier has its own guidelines anywhere from 30 days up to 2 years for a claim to be submitted and accepted by the payor.
Claims are often denied for “timely filing” even though the claim actually was submitted within the timely filing timeline of the payor. For various reasons, the payor may not record your claim into their system even though you show you have submitted the claim well within their “timely filing” guidelines.
Often a claim didn’t reach the payors adjudication system because there was a demographical error on the claim such as: a misspelling, an incorrect subscriber’s ID, or some similar reason. In such cases resubmitting a claim for payment may be as easy as following these simple steps:
1. Determine if the claim has demographical errors and correct them.
2. Provide “proof of original billing” within the payors timely billing schedule;
such as a report from your practice management system or claims
clearinghouse.
3. Determine if the payor uses a special “timely filing” or “appeal” form.
Correct the claim information, complete any special forms the payor may require, attach proof of original filing, and resubmit this information to the payor for payment. For “timely filing” denials that need further appeal you may need to attach a written letter explaining the circumstances of the claim, why it was denied, steps you took to correct the problem, and original and resubmission dates in addition to the steps: 1-3 above.
Identifying and understanding these timely filing guidelines when working your accounts receivable aging is key to making sure you get claims corrected and resubmitted before you get a “timely filing” denial. However, when such denials occur, the important question to be asking is: “What are we doing with timely filing denials?” If the answer is that you are accepting this denial and writing-off the balance, you could be losing potential revenue.
We want to help. Call or email us today!
www.ts4mo.com
Do you have lost revenue due to “untimely filing” of claims?
Each insurance carrier has its own guidelines anywhere from 30 days up to 2 years for a claim to be submitted and accepted by the payor.
Claims are often denied for “timely filing” even though the claim actually was submitted within the timely filing timeline of the payor. For various reasons, the payor may not record your claim into their system even though you show you have submitted the claim well within their “timely filing” guidelines.
Often a claim didn’t reach the payors adjudication system because there was a demographical error on the claim such as: a misspelling, an incorrect subscriber’s ID, or some similar reason. In such cases resubmitting a claim for payment may be as easy as following these simple steps:
1. Determine if the claim has demographical errors and correct them.
2. Provide “proof of original billing” within the payors timely billing schedule;
such as a report from your practice management system or claims
clearinghouse.
3. Determine if the payor uses a special “timely filing” or “appeal” form.
Correct the claim information, complete any special forms the payor may require, attach proof of original filing, and resubmit this information to the payor for payment. For “timely filing” denials that need further appeal you may need to attach a written letter explaining the circumstances of the claim, why it was denied, steps you took to correct the problem, and original and resubmission dates in addition to the steps: 1-3 above.
Identifying and understanding these timely filing guidelines when working your accounts receivable aging is key to making sure you get claims corrected and resubmitted before you get a “timely filing” denial. However, when such denials occur, the important question to be asking is: “What are we doing with timely filing denials?” If the answer is that you are accepting this denial and writing-off the balance, you could be losing potential revenue.
We want to help. Call or email us today!
www.ts4mo.com
Timely Filing Denials
Don't FALL behind!
Don't FALL behind!
Centers for Medicare & Medicaid Services’ Office of E-Health Standards and Services Announces 90-Day Period of Enforcement Discretion for Compliance with New HIPAA Transaction Standards.