Does your TPA provide an Injury and Illness Prevention Program (IIPP) ??
As a medical insurer, you have a lot on your plate. By outsourcing medical bills for the purpose of applying state fee schedule deductions and PPO contracted discounts, you can reap the benefits of extra help. There are many advantages to partnering with a medical insurance adjuster.
What Does Action Medical Management Do?
Our medical management team takes complicated CPT codes within medical bills and matches them with the jurisdictional state’s fee schedule to establish the allowable amount payable for the service. Even the AMA describes CPT coding as highly technical and always changing. Action Medical Management is here to handle the challenge, so you don’t have to! If there are no fee schedules in your state, we’ll match the CPT codes to the Usual & Customary list instead. After the discounts are applied, we’ll look into Preferred Provider Organization, or Network, discounts and create an Explanation of Review which we’ll mail with a check to the medical provider for services rendered.
How Does This Help You?
Partnering with Action Medical Management has a host of benefits such as:
- A reduction in administrative costs. By outsourcing your insurance coding, you won’t have to pay an in-house team to do it. Staff can spend less time matching codes and more time dealing with customers. You’ll also invest fewer hours keeping workers up to date on coding changes, sub-sets, and modifiers.
- Fewer mistakes. Instead of being one of many hats that your employees wear, matching codes for discounts is the one thing we train for and focus on. This means fewer distractions and a better understanding of how the process works.
- Faster claims processing times. Because our company just handles billing, we can get through them faster than if they were just one more job piled on your desk. We manage medical bills quickly and effectively to save you time and energy while making medical providers and customers happier.
- Your data is more secure. Internet security is an issue with medical billing. It’s estimated that a personal medical file brings in 10 to 20 times more money than other digital data, such as credit card numbers. It can be expensive to guard that privileged information. When you assign your medical bills to a medical insurance adjuster, we keep the data safe, with minimal chance of a breach.
Improving revenue cycle management and slashing operating expenses are great reasons to outsource your medical bills for discount matching. While it may feel strange to give up control of the process, the benefits of time and money saved more than make up for it. Call Action Medical Management today at (888) 691-1095 to relieve staff stress and improve internal workflow.
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