In all medical practices physicians want to receive payment from the insurance companies, but rejections are not a bad thing, they can give you information that is to your benefit.
In the medical office most physicians, directors, and office managers do not like rejections. They feel that something is wrong with the biller, this is not always the case.
Truth be told there are many reasons that a claim could be rejected—previously paid, patients has other insurance, wrong procedure code, the claim needs a modifier, patient information does not match. These are just a few out of may more out there.
Rejections are not a bad thing if they are worked immediately by your biller. A rejection 95% of the time can be re-worked, sent back to the insurance company and you will be paid. If the rejection states that the patient does not have that insurance—that is also not a terrible problem since those charges then need to be transferred to the patient and if that patient gave you the wrong information, then that patient wil contact you immediately because most patients’ do not want a bill hanging over their head. Continue reading ‘Payment Vs Rejections’ »