tci Outpatient Facility Coding Alert - 2015 Issue 8

Billing Strategy: Pay Attention to the Payer-Provider Relationship

Good relations with payers can help you better manage hospital accounts receivables. The physician-patient relationship has immense significance in managing a patient’s condition and well-being, but payer-physician relationship is equally important in ensuring smooth reimbursement claims. Fostering a positive relationship with payers can smooth the claims procedures and increase billing department efficiencies. Here’s how you can develop stronger payer-practice relationships. Communicate and Document In earlier times, interactions between payers and providers generally took place between the treating physician and the chief medical officer (CMO) of the payer. Now, however, payers are more likely run by executives with...

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