Tag: Claim Reconsideration
IF YOUR TREK TO COLLECT
is coming up with more dead-ends and reworks than you have ever had in your life!!!
There is a ray of hope!
Do you remember the old Texas Medical Association (TMA), Hassle Log?
It has a new name.
“Reimbursement Review and Resolution (RRR) services” (because hassle log was too hard, lol).
If you are a TMA member, this is a great resource.
Attached is the paperwork you will need to submit your issue. Just follow the links.
POET has recently reached out to TMA using this resource and so far it has been pretty simple.
Aetna OfficeLink Updates 6/1/2021
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Cigna MA 2nd Qtr News 5/11/2021
Feature Article: Engaging with Patients Virtually, Cigna’s Virtual Care Reimbursement Policy
Policy Updates:
- Preventive Care Services
- Precertification
- Clinical, Reimbursement, and Administrative
General News
- Claim Denial preventive tips
- Appeal Reminders
- and many more to numerous to add
Webinar Schedule for Digital Solutions:
| Topic | Date | Time (CT) | Length | Meeting # |
|---|---|---|---|---|
| Eligibility and Benefits /Cigna Cost of Care Estimator | Wednesday, May 12, 2021 | 12:00 | 60 min | 179 626 8334 |
| EFT Enrollment, Online Remittance, and Claim Status Inquiry | Monday, May 17, 2021 | 11:00 | 60 min | 179 602 5133 |
| Online Appeal and Claim Reconsideration | Wednesday, May 19, 202 | 11:00 | 60 min | 179 487 2665 |
Website Access Manager Training | Wednesday, May 26, 2021 | 11:00 | 60 min | 179 079 6479 |
| CignaforHCP.com Overview | Tuesday, June 1, 2021 | 1:30 | 90 mins | 179 702 7790 |
| Eligibility and Benefits /Cigna Cost of Care Estimator | Wednesday, June 9, 2021 | 11:00 | 60 min | 179 319 4586 |
| EFT Enrollment, Online Remittance, and Claim Status Inquiry | Wednesday, June 16, 2021 | 11:00 | 60 min | 179 225 1773 |
| Online Appeal and Claim Reconsideration | Monday, June 21, 2021 | 11:00 | 60 min | 179 162 7760 |
| Website Access Manager Training | Monday, June 28, 2021 | 11:00 | 60 min | 179 940 8512 |
News from Aetna
Check out the news from Aetna regarding: (click)
- Changes to their National Precertification
List (NPL) - Submitting precertification requests
- How to use Availity to request precertification online
News from Aetna, April 15, 2021
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6 Keys to Addressing Denials
6 keys to addressing denials in your medical practice’s revenue cycle
MGMA STAT – MARCH 18, 2021
The Medical Group Management Association’s most recent MGMA Stat poll asked healthcare leaders, “Has your organization seen denials increase in 2021?”
- 69% said “yes.”
- 31% said “no.”
Common responses from respondents included payers not reimbursing for codes related to COVID-19 supplies, critical care claims and imaging CTs.
For those healthcare leaders who reported an increase in denials, the average increase in denials was 17%.
- Half responded that they increased by 1% to 10%.
- 34% said 11% to 20%.
- 12% who stated 21% to 30%.
The poll was conducted March 16, 2021, with 576 applicable responses.
For great tips and strategies to use, follow this link or visit “The Business End” folder located in the InK files.
6 Keys to Addressing Denials in Your Medical Practice’s Revenue Cycle, MGMA STAT – March 18, 2021
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Improve Your Appeal Efforts
“Know the Law When Managing Claim Denials for Better Appeals”
Medical denials and appeals can be an expensive and time-consuming. Sharpen your skills with this article from MGMA.
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