If you and your staff suffer the frustration of denials and appeals of unpaid claims, you should know the AMA has resources and tools to assist you. Also, you should consider fighting back by enrolling in the “Heal that Claim” ™ campaign.
During November, practices nationwide are implementing efficiencies to help them submit claims that are timely and accurate – the first time. Free practice management alerts from the AMA are notifying them about unfair payer activities and ways to address them, as well as offering updates on new resources and tools for practice improvement.
When you pledge to take part in the campaign you also commit to share your claims stories in an online community of other physicians and their staff members.
These stories were shared by physicians participating in the campaign:
"Sometimes one letter is all it takes," said Jan Faibisoff, M.D., an AMA member from Illinois. And he should know. He collected at least $10,000 more in claims by appealing denials with the AMA's "Appeal that Claim" letter templates.
One practice in Chicago recovered $19,000 over 6 months from appealing a single type of underpaid claim.
Get started by viewing an online webinar here.
Heal that Claim™ Resources and Tools
Here is just a sampling of what you can find on the AMA website:
Prepare, Follow and Appeal that Claim – Three resources to help you navigate the claims submission process.
Claims Workflow Assistant – Online tool enabling you to look up the reasons health insurers report for denying claims and determine best steps to reverse denials.
Physician Claims Process Check-Up – A tool that lets you examine the health of your claims process.
Appeal that Claim – Interactive resource to simplify the claim audit and appeals processes and reduce the administrative burden with a step-by-step course of action.