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  • 1.  auto vs Medical for Hospital base practices

    Posted 03-08-2018 08:26

    Good morning,

     

                    I have a question for everyone regarding Hospital base radiology providers.  Historically if a patient was registered by the hospital  regarding Insurance coverage with having Auto as primary and then their Medical Insurance as secondary.

     If there wasn't any information regarding the Auto, we would always bill the Medical insurance.  Previously our experience would be if we billed the patient and eventually received the auto, many times it was exhausted or there was no med pay or it was a third party, so consequently when we filed with the Medical we would be past filing. This was our reason to start billing the medical when there wasn't any auto information available. 

    Recently there are been some disagreement with some business associates that we should just be billing the patients for the information.  My concerned is missing out to the Medical coverage by the time the patient might respond and the claim is past filing or the claim going out to collections where we could of obtain the revenue from their Medical insurance.

     

    Would love to hear how other groups are handling this and appreciate any input.

    Thank you

    Donna

     

    Donna Russo, CPC |  Client Manager

    Direct 860-925-6482   |  cell 860-937-3033  | fax 860-925-6358 l main 860-688-0033

    1095 Day Hill Road; PO Box 101  |Windsor, CT  |  06095    

    Donna.Russo@M3Meridian.com  |  LinkedIn  |  Insights Blog

     

    Join us at the 2018 VertexDr Client Forum, May 2-3! Email Caryn.Kleckowski@M3Meridian.com for additional details or to RSVP.

     

    image003.png@01D10CE1.A65E2E20

    This email may contain confidential or proprietary material including Protected Health Information for the sole use of the intended recipient. Any review, use, duplication, distribution or disclosure by others is strictly prohibited by applicable law. If you are not the intended recipient, please contact the sender by reply email and delete all copies of this message.

     



  • 2.  RE: auto vs Medical for Hospital base practices

    Posted 03-09-2018 09:54
    Donna,
    We file a claim to both the auto and medical insurance if we have access to both.  We file the medical claim to avoid any timely denials and avoid future appeals for timely denials.  We rarely have over-payment issues from receiving payment from both sources, but when we do they are quickly worked.  If we learn a service is a result of third party liability, we file a claim on behalf of the patient but do not expect to receive payment.  It is our experience in third party liability, payment is made directly to the patient.  In third party situations we look to collect from the patient, which in turn calls us requesting we file medical.


    ------------------------------
    Penny Shepherd
    Billing Office Manager
    Professional Medical Management/Iowa Radiology
    West Des Moines IA
    (515) 226-7426
    Professional Medical Management
    ------------------------------

    Original Message


  • 3.  RE: auto vs Medical for Hospital base practices

    Posted 03-09-2018 10:03

    Thank you Penny

     

    Donna Russo, CPC |  Client Manager

    Direct 860-925-6482   |  cell 860-937-3033  | fax 860-925-6358 l main 860-688-0033

    1095 Day Hill Road; PO Box 101  |Windsor, CT  |  06095    

    Donna.Russo@M3Meridian.com  |  LinkedIn  |  Insights Blog

     

    Join us at the 2018 VertexDr Client Forum, May 2-3! Email Caryn.Kleckowski@M3Meridian.com for additional details or to RSVP.

     

    image003.png@01D10CE1.A65E2E20

    This email may contain confidential or proprietary material including Protected Health Information for the sole use of the intended recipient. Any review, use, duplication, distribution or disclosure by others is strictly prohibited by applicable law. If you are not the intended recipient, please contact the sender by reply email and delete all copies of this message.

     




    Original Message


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