Practice Management

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  • 1.  UHC

    Posted 05-22-2024 13:51

    Our practice is experiencing significant issues with UHC insurance changing our providers status from par to non-par, stating they haven't received revalidation and now asking for us to complete another 18 page 110 column document on all of our providers of which we had already completed previously 1 month ago and we have not changed anything on our end.  We are not getting anywhere with the reps that we are speaking to, does anyone have insight?   

    Frustrated!



    ------------------------------
    Jennifer Small, BS, RT, (R)
    Chief Operating Officer
    Evansville Radiology, P.C
    Evansville, IN
    812-422-3254
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  • 2.  RE: UHC

    Posted 05-22-2024 14:07
    Jennifer, 
    Yes, we experienced something very similar. 
    It took us almost a year to get resolution and it was only because we got the patients involved. 
    I'd be happy to talk to you about it in more detail. 
    Feel free to reach out.

    Kindly,

    Christina Negron, CPPM, CPC, RCC, CIC, CIRCC

    Revenue Cycle Manager

    Radiology Associates of Venice and Englewood, PA

    512 Nokomis Ave S

    Venice, FL 34285

    941-486-3483 Direct

    239-209-4787 Cell

    941-484-9235 Fax

    CNegron@RaveRad.com

     

     

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    Original Message


  • 3.  RE: UHC

    Posted 30 days ago

    Oh the stories of United.  We had some of our imaging centers mysteriously become OON and went down a rabbit hole with our provider rep (???) telling us we were billing wrong, had the wrong POS code on the claim, wrong rendering location, blah blah blah.

    When we tried to explain, we have used the same POS code for over 20+ years, use the same POS code for all payors, she simply refused to listen to logic and continued to place the blame on our billing practices.  Just to amuse the rather vacuous individual we complied with nor resulting change in claim adjudication.  

    I finally reached out to UHCs VP of national provider networks and this got things moving.

    my understanding is UHC has finally realized they have issues with their rad providers and now has a "global workgroup".

    persistence and plenty of patience when working with these people.  Logic is not part of their repertoire.  



    ------------------------------
    Douglas G. Kraus, CPA
    Chief Financial Officer
    South Texas Radiology Group, P.A.
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    Original Message


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