I am doing billing for a practice who give inpatient visits in hospital. I am getting hard time to get paid denied claim for auth. In patient services 100% depend on hospital auth but some times hospital staff do not take proper authorization or do not submit claims to correct insurance within time frame. In this case claims for my docs are denying for either missing auth or missing admission info from hospital. So I do appeal the insurance with Medical notes but they still denies the appeal.
Do any one else have this issue? How to overcome these denials?