Majority of the payers these days struggle with a complicated system of claims processing which result in numerous errors. As this directly impacts practice revenue, physicians would benefit tremendously by bringing in accuracy, efficiency and visibility into their claims analysis and management process.
Industry Standards State
Briefly understanding the payer’s administrative system-
Inaccurate claims include partial payments without explanation, underpayments and overpayments. The payer’s first time EOB payment accuracy rate can have a considerable impact on a physician’s practice costs.
Challenges physicians encounter while auditing inaccurate claim payments -
How do inaccurately paid claims adversely impact physicians?
Increasing your payments with MBC’s claim management process
Physicians can avoid the extra expenses and increase claim payment accuracy without investing their valuable time with the help of a billing specialist. MBC is constantly finding ways to increase accuracy, efficiency and visibility for its clients with its claims analysis and management process-
|Evaluate all payer contracts – to ensure physicians receive the correct payments, MBC helps physicians review all payer contracts, including the associated fee schedules, available claim edits, payment policies, and other payment rules before signing any contract.
|Constantly review and audit claims - for timely and accurate payments MBC identifies all inappropriate claim denials; communicates with the payer‘s regularly and initiates claim appeals when required.
|Challenge inappropriate claim payments –in an effort to correct payer inaccuracy and also reduce future denials and costs; MBC challenges and appeals claims that have been inappropriately denied by payers.
MBC the largest consortium of billers and coders has been providing medical billing including denial management services across US for over a decade now; which meet national and local requirements for medical necessity and complies with commercial claims stipulations.
MBC aims to stop inaccurate claim payments before they start by constantly monitoring claims submitted and identifying opportunities which help improve accuracy, compliance and productivity.