I understand the 1st timely filing limit and the appeals timely filing but what is LLOC timely mean? I noticed it in the system but no one knows what it means.
I have been the biller for a family practice for a few years now. I am given super bills at 85-88 days of a 90 day time filing. I also do eligibility for all patients seen, referrals, records, and management. I am struggling to keep up. Especially with follow up. I get claim denials and don’t have time to follow up or I need to send a secondary claim but don’t get it out in timely. How do I handle this? Or how can I handle this discussion with my boss?
I am sorry to hear this. I completely understand your plight. I would be completely transparent and let you boss know. It sounds like you need support with AR calls and possibly appeals. If he/she doesn't see the reason/value in adding someone to support you, show them the numbers with the losses or Accounts receivables.
Been fighting with my insurance since September. They've literally tried to kill me with a medication I'm allergic to...and then tripled a dosage of medication I've been on as a justification to not cover a treatment I need
I'm so sorry to hear. Yes, I completely understand your plight. We are fighting hard for fair and transparent insurance practices. The insurance company practices on the commercial side are a huge piece of the confusion that exist in healthcare today. We need to keep pushing against it and advocating for changes. Thank you for your comment!
I am confused when sending claims to WC insurances. Why they don’t like ED charges to be in separate lines? When is sent electronically we have to drop it to paper claim. Is this claim now a corrected claim?
Workers comp carriers are not required to follow the same electronic standardization guidelines as commerical carriers and for that reason you will see a lot of variation. Additionally, some states have specific requirements. No, if they did not accept the orginal claim for processing/adjudication (& it was rejected by the payer) then the paper claims is still an orginal claim.
I agree. I is painful especially when providers are committed to just providing the care patients need yet an insurance company has the power to intervene for their own benefit.
Thank you for the information you sent.
You're welcome!
Great job as always.
Thanks!! 🥰 I so appreciate your feedback Coach!!
If primary insurance denied as past TFL. Can we bill the claim to secondary?
Awesome Job!
Thanks! :-)
Wow Great Job 👌👏
Thanks for watching!
Excellent content
Very much appreciated!!
I understand the 1st timely filing limit and the appeals timely filing but what is LLOC timely mean? I noticed it in the system but no one knows what it means.
What is LLOC in medical billing?
Hi Ginger, please stay tuned. We’ve responded to this comment in a video post that will be going up later on this week. Best of luck!
I have been the biller for a family practice for a few years now. I am given super bills at 85-88 days of a 90 day time filing. I also do eligibility for all patients seen, referrals, records, and management. I am struggling to keep up. Especially with follow up. I get claim denials and don’t have time to follow up or I need to send a secondary claim but don’t get it out in timely. How do I handle this? Or how can I handle this discussion with my boss?
I am sorry to hear this. I completely understand your plight. I would be completely transparent and let you boss know. It sounds like you need support with AR calls and possibly appeals. If he/she doesn't see the reason/value in adding someone to support you, show them the numbers with the losses or Accounts receivables.
Keep me updated!!
Commercial claims contract and non-contract provider how many days, please resolve this issue.
Sorry that is dependent upon the insurance carrier. You can Google to obtain most of that information.
Been fighting with my insurance since September. They've literally tried to kill me with a medication I'm allergic to...and then tripled a dosage of medication I've been on as a justification to not cover a treatment I need
I'm so sorry to hear. Yes, I completely understand your plight. We are fighting hard for fair and transparent insurance practices. The insurance company practices on the commercial side are a huge piece of the confusion that exist in healthcare today. We need to keep pushing against it and advocating for changes.
Thank you for your comment!
I am confused when sending claims to WC insurances. Why they don’t like ED charges to be in separate lines? When is sent electronically we have to drop it to paper claim. Is this claim now a corrected claim?
Workers comp carriers are not required to follow the same electronic standardization guidelines as commerical carriers and for that reason you will see a lot of variation. Additionally, some states have specific requirements. No, if they did not accept the orginal claim for processing/adjudication (& it was rejected by the payer) then the paper claims is still an orginal claim.
Make video on all denial plz mam.
Thank you for your requeste! We will get to work on that and a get some up over the next few weeks.
Hi ma'am
Hello & thank you for the support!
It's just sad that we have to jump through so many hoops to get the care we need.
I agree. I is painful especially when providers are committed to just providing the care patients need yet an insurance company has the power to intervene for their own benefit.