PHYSICIANS

Being a physician in healthcare has change drastically over the past decade. The administrative and clinical documentation required for proper claim adjudication takes twice as long as the actual time to care for your patients. Even after your office proactively abides by patient plan requirements payors still successfully deny roughly 20%-40% of your claims.

Sending a clean claim sounds easy; however, the variety of clinical and payor-specific bill requirements makes it increasingly difficult to create clean claims. Even after a payor remits and "pays" your claim, it's difficult to determine whether a variance or denial occurred and if there is additional revenue to appeal.

Physician groups need claim payment review and staff training and education to identify trends in inaccurate claims processing to plug the leaks moving forward.  Physicians operate on narrowing margins of profit; therefore, receipt of accurate reimbursement is imperative while not spending a significant amount on costly consultants and software systems. Please contact MedRev for additional information on our contingency based services for physicians.