As a physician I trust in devoting myself to patient care, and the payment that never got posted only added to the woes. Another quandary was that we saw most of the issues arising from the same Medicare HMO payer. This obviously meant that the collections of the upcoming months too, would meet the same end.
I could think of no other measures except outsourcing my billing to a medical billing service.
HOW DID KNACK GLOBAL HELP WITH ROOT CAUSE ANALYSIS?
PROACTIVE SOLUTIONS FROM
The Knack Global team worded on these claims to determine the reasoning for the “not on file” response. The team determined that the payer had updated their processing system and there was a gap in the integration of the old and new systems at the payer end.
Resolution was planned with the payer to send a compiled spreadsheet of the claims affected. The spreadsheet had approximately 600 to 700 encounters, with billed charges at approximately 1.5 million. The follow up from the Knack Global team with the payers ensured that all monies were collected within a month. Thanks to the proactive measures taken by the Knack Global team we exceeded our targets every month that followed.