In today's health insurance climate, AR management has become more difficult for medical practices. A recent study by the American Medical Association found that medical practices spend almost $15,000 annually on phone calls, investigative work, and claims appeals associated with reworking claims, only to be unsuccessful in maintaining satisfactory collections. This is in addition to the millions of dollars left on the table every single year due to under-reimbursement.
Collecting from insurance companies is not merely submission of claims making few phone calls. It is an industry that demands bulldog tenacity. The time and complexity involved means very few billing companies have the knowledge and expertise to analyze and recover the unpaid AR but Texas Medical CPA is very successful. Why? We understand the issues that cause denials: Incomplete or incorrect coding, bundled services, pre-authorizations or referral not obtained, demographic errors on claims, failure to prove medical necessity, and missed timely filing deadlines.
At Texas Medical CPA we have a solid understanding of corrective actions to take regardless of the denial reason given. Our track record (collecting $200 million on a $360 million project) and expertise in this area are what set us apart from the competition. We not only collect on old claims but the information we share tremendously helps the client in reducing denials in the future. To learn more about our AR management services, call us today at (214) 636-8100 or request a consultation through our website.