Physician Services

We are an insurance billing and collections service.

Basically denials occur because of communication problems. Either we did not communicate or they did not understand. The trick is finding which one of these it is. Stating that care was "not medically necessary" is unacceptable at Physician Services.

We want to know who stated such and their credentials for the statement "care was not medically necessary".

We have found that establishing "friends" at insurance companies in the review departments (most have the title of analyst) is a successful way of finding out what is wrong with the communication to the review department. The analyst gets the insurance consultant's notes and reads them to us, usually something was not fully explained and upon full explanation is approved to be paid.

The key is finding out what is missing or not understood!

The above job description takes time and concentration and can be efficiently accomplished in a focused environment by trained, experienced personnel. You see, we don't have the distractions of the office that can cause errors in coding and other key data that will delay a claim and cause it to be refiled.