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One of our specialties is Old Claim Clean Up
Independent studies released at a joint ASA/MGMA meeting showed that medical claims are underpaid over $5 billion annually and fewer than 6% are appealed and followed up on through proper reimbursement. In other words, you may be like many healthcare providers and have at least one "new Porsche" sitting in your unresolved rejected claims drawer. Even if you are doing better than average, your staff probably does not have the time to get the runaround on the phone trying to figure out what the unidentified errors are on each claim. Net result--you never collect on many valid insurance claims.
One of the first benefits of signing up with Medi-Claims ECP is that we go after those unresolved bills for you and your staff. Our proprietary computer program checks each claim for errors, resubmits those with no apparent errors (carrier reviewers make mistakes too) and prints out a list of claims needing to be corrected. If our program does not identify the error(s), we call the carrier to resolve the claim. Not every claim can be collected, but each success is more money for you that you probably would have lost.
Our fee for old claims is normally set at a fixed percentage of the claims that we resubmit and resolve for you. This cost will be covered with you during a cost savings evaluation personalized for your practice.