What is the current success rate of the medical appeals submitted by your practice?
Do you have patients whose care has been denied as “not medically necessary” and/or “experimental/investigational”?
Do those addressing these appeals for your practice understand the medical aspects of the case, and are they capable of interpreting and describing the needs of a patient?
Are there patients for whom you believe a particular treatment would be safer and/or more effective but the likelihood of an insurance denial discourages you from providing that level of care?
Do you find that you are spending money to hire and train new employees to address appeals - regardless of the outcome of the cases?
Are you spending a considerable amount of your time addressing patient cases from the past? If “yes”, does this prevent you from being able to spend as much time with your new patients?
How We Can Help
Medical Mediation Services works with many of your colleagues who are losing money on medical claims denied based on a perception by insurance companies that some treatments are either “not medically necessary” or “experimental/investigational” in nature.
Here at Medical Mediation Services, we know the challenges you face in dealing with the medical appeals process. Hiring staff with the requisite knowledge and experience to navigate the intricate insurance appeals process can be costly, and this additional expense exists even if the appeals are not successful.
By bridging the gap between you and insurance companies we can help you capture revenue lost due to clinical insurance denials.
Medical Mediation Services is focused on capturing lost revenue for physician practices, and fees are only charged for successful outcomes.