A gripe

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Jilda13
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A gripe

Post by Jilda13 » Mon Apr 04, 2011 8:16 am

Here's a gripe. Anybody relate?

We have a nominal ten or so practices on our roster. Just one of them, an Ob/Gyn practice in a poor neighborhood, gives us all of its business, mostly Medicare and Medicaid, totaling ninety or so claims per week. If all of them generated that much business we could buy a bigger yacht (though we would have no time to enjoy it).

A couple of our practices are run on the side by providers whose main activity is hospital-related and generates no business for us. We are happy with them. They were our very first clients and helped us learn the business without doing too much damage. They give us all their non-hospital business, both private insurance and government.

The gripe is those practices that take the easy ones for themselves, i.e., all the private insurers to which they file paper claims, and leave us with only the complex government-funded claims. I guess that won't change until all insurers, private and government, insist on electronic filing. :?

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Gavin Walker
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Re: A gripe

Post by Gavin Walker » Mon Apr 04, 2011 4:26 pm

You might explain to them that they get paid faster if they file electronically. Some private insurance carriers can pay within 2 days if filed electronically. If filing on paper, that means someone is probably hand keying the information in, which can lead to errors and hold up the money.
Gavin Walker
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Jilda13
Posts: 55
Joined: Mon Aug 24, 2009 10:03 am
Location: New York, NY
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Re: A gripe

Post by Jilda13 » Mon Apr 04, 2011 4:42 pm

We have stressed in our sales pitch that electronic is faster. But they would rather save a couple of dollars and wait. And, boy! do they ever make errors. All our input is on paper, most of it long hand. We catch the errors. Mostly.

Along the same lines, we just ran across a new one. Seems the insurer will pay you right now if you agree to a lower figure. Much lower. Otherwise, you wait a good long time to get paid. Doesn't matter if you file a paper claim or electronically. Reminds me of the New York traffic ticket scheme. If you don't fight the ticket you need pay only half the fine.

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