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  • Other Added - Medical Billing - The Reality Of Priority

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    The problem arises when the company gets backed up. How does this happen? Simple. As claims get submitted, a certain percentage of them are going to get denied. There is n

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    As a patient, we want to believe that our lives are in the hands of people who we can trust to do their job of medical billing without looking at the bottom line. But the sad truth is, it's the size of the claim and not the seriousness of your problem that gets the highest priority when it comes to crunch time.

    The biggest problem with medical billing is that it's still a business. The medical billing agencies get their money from getting a premium paid on each claim based on how much the claim itself is. If you're doing bulk business, this really ads up over time. The doctors are willing to pay for this service because they just don't have the time to do the billing themselves. So that's where the big companies come in.

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    , it's the size of the claim and not the seriousness of your problem that gets the highest priority when it comes to crunch time.

    The biggest problem with medical billing is that it's still a business. The medical billing agencies get their money from getting a premium paid on each claim based on how much the claim itself is. If you're doing bulk business, this really ads up over time. The doctors are willing to pay for this service because they just don't have the time to do the billing themselves. So that's where the big companies come in.

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    it's still a business. The medical billing agencies get their money from getting a premium paid on each claim based on how much the claim itself is. If you're doing bulk business, this really ads up over time. The doctors are willing to pay for this service because they just don't have the time to do the billing themselves. So that's where the big companies come in.

    The problem arises when the company gets backed up. How does this happen? Simple. As claims get submitted, a certain percentage of them are going to get denied. There is n

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    s really ads up over time. The doctors are willing to pay for this service because they just don't have the time to do the billing themselves. So that's where the big companies come in.

    The problem arises when the company gets backed up. How does this happen? Simple. As claims get submitted, a certain percentage of them are going to get denied. There is n

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    n.

    The problem arises when the company gets backed up. How does this happen? Simple. As claims get submitted, a certain percentage of them are going to get denied. There is no way around this. Medical billing personnel make mistakes and claims get fouled up. Well, when this happens, these claims have to get resubmitted. While these claims are being resubmitted, new claims are coming in. Eventually, over time, a backlog starts to form. With that happens, the following situation is what the medical biller is faced with.

    In front of this person sits two claims. The backlog is already up to a week if not longer. The old claim that has to be resubmitted is for a paltry $100 for an office visit. Sitting right next to this claim is a brand new claim for $3,000 for a surgical procedure. The manager comes by and specifically tells the medical biller that the $3,000 claim has to go first because

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