Disagree, Deny, Defend.
These are insurance carrier’s behaviors that impact our clients negatively.
These are the problems we are asked to fix.
A lot of my clients are appalled at the carrier’s disagreement with their judgment and insulted by the idea that a doctor who sometimes hasn’t ever met the patient has second guessed them.
Neither I nor any lawyer can really claim to stop IME denials or peer review based denials, however there are some harms we can reduce and help eliminate.
From the date the service is rendered to the date payment is deposited, every delay is a harm to the practice.
Many practices don’t realize that this harm, can be reduced, resolved and overcome.
We do so every day by focusing on promptness and efficiency.
We do not delay processing or filing of our clients denied claims into arbitration for any reason.
There is no strategy in adding to the delay in payment on any one bill or group of bills.
Filing efficiently can also give many of our clients the advantage of interest accruing from before the case was filed, as well as expedited arbitration, and earlier hearing dates.
Filing each case as efficiently as possible is therefore the best strategy for reducing or eliminating the harm caused be delay or denial of payment.