Payments > Insurance Payments

Insurance company reducing/denying payment.

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PMRNC:
Looks like someone used to work for insurance claims.. you had me at "claim check" and in another post on all nations clauses :)

Rclausing:

--- Quote from: PMRNC on May 09, 2015, 08:32:47 PM ---Looks like someone used to work for insurance claims.. you had me at "claim check" and in another post on all nations clauses :)

--- End quote ---

I did a 6 mo stint with a BC/BS TPA in an investigative unit for individual policies working as a temp... but that is all.  Know thy enemy, I say. I have over 20 years experience as a medical accounts receivable specialist. Worked for pretty much every specialty type at one time or another, even the dreaded DME. I meet VERY few people that have dedicated as much time as I have researching the best ways to turn physician services into cash - and from the looks of your posts, you could be one of them! I wish you were in Oregon, I've been out of the game for a bit and had an old client call me up the other day wanting me back. It turns out I need the job so I'm back to the grind. Would love to have someone to talk to locally so I can catch up on what's been going on.

PMRNC:

--- Quote --- did a 6 mo stint with a BC/BS TPA in an investigative unit for individual policies working as a temp... but that is all.  Know thy enemy, I say. I have over 20 years experience as a medical accounts receivable specialist. Worked for pretty much every specialty type at one time or another, even the dreaded DME. I meet VERY few people that have dedicated as much time as I have researching the best ways to turn physician services into cash - and from the looks of your posts, you could be one of them! I wish you were in Oregon, I've been out of the game for a bit and had an old client call me up the other day wanting me back. It turns out I need the job so I'm back to the grind. Would love to have someone to talk to locally so I can catch up on what's been going on.
--- End quote ---

I spent my first 14 years in the business on the enemy line <g>  You can email me linda@billerswebsite.com

Rclausing:
Thanks, I just sent a friend request to the FB billerswebsite page. I'll send another to your personal FB, hope you don't mind. I hate to admit how much I use FB...  ::)

dekenn:
Rclausing, Thanks so much for your response! I still had not gotten anywhere on the x-ray issue, but I will follow up with your suggestions. Thanks for taking the time to help out!

As for the cast material, it's not the casting plaster, it's the Q codes for the fiberglass material for the post-op casts, or fracture casts.  Any thoughts would be most appreciated!

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