Your business office missed the timely filing deadline by 30 days. The claim is filed and comes back denied. What do you do now?
You have to make a decision – pursue the patient, write-off or appeal. If the coverage is from a managed care plan, your choices are narrowed to just two. The answer is simple. You have to appeal the Insurance Payer’s decision.
Timely filing deadlines are getting shorter and medical billing more complicated. With the heightened concern over fraud and abuse, medical business offices must scrutinize claims even more closely before submitting. This is a poor combination for any medical business office trying to meet an arbitrary deadline imposed by the carrier, but an advantageous one for the insurers. Providers must take an aggressive appeal position on such claims.