AUTHORIZATION DENIAL MOCK CALL- [denial management] in medical billing
#denialmanagement #medicalbilling #dminmb
Жүктеу.....
Пікірлер: 60
@DAIArtist554 ай бұрын
Excellently described the whole call process. thanks keep making more informative videos
@rameshchinnasamy27442 жыл бұрын
Wow, Great calling sample video, if you continue the same for more denials will be helpful for ppl more.
@ZeeshanAhmadmalikMalik10 күн бұрын
Very easy call procedure thanx a lot.
@TheAspiringCentenarian Жыл бұрын
huge help. thank you. keep it up
@lifeline94743 жыл бұрын
Please make more videos . I like your videos.
@thevectorvolume6424 Жыл бұрын
Awesome and easy to understand❤❤
@fayyazshahid17153 жыл бұрын
i can understand easliy please keep it up more denial mock call its very helpful
@BhavnaArora-oy7fg8 ай бұрын
Hey , I have worked with RCM as an AR follow up but due to a year gap of same profile i was lacking in some terms ,however your all videos cleared my most of the doubts .. Thanks a ton for sharing your knowledge with us...dude... ❤keep.it up keep growing
@alexailacadupdates9522 жыл бұрын
It somehow same with aetna claims. Hope you'll have an example of it.
@vijayakumarmunu76193 жыл бұрын
Good job bro 🤜
@samalavenkatesh19113 жыл бұрын
Keeping going bro.. 👍
@kranthi326 Жыл бұрын
good job. but you miss you took claim# alright thank you for sharing info/knowledge
@Ateeq303 Жыл бұрын
Excellent!
@Tragicarts Жыл бұрын
Amazing 🤩🤩
@vipinanwari79302 жыл бұрын
Nice
@arif67803 жыл бұрын
Brilliant
@sksiraz1072 жыл бұрын
Keep it up
@shalinim59267 ай бұрын
Your explanation is easy to understand, so can you explain about AOB and ABN?. Why didn't you post medical billing video for last 2 years, keep it up sir we will support you.
@Abhishekkumar-uz7rw Жыл бұрын
Super👏👏👏👏👏👏
@akashnegi85363 жыл бұрын
I have recently joined medical billing company they are giving me eligibility cases can you tell me how to review claim. And what to ask on call?
@user-ry5od9lq5w9 ай бұрын
Check place of service before retro auth.
@mohdakber99303 жыл бұрын
Long time no see, where have you been bro ?
@ayyappagowdabiradar4712 жыл бұрын
what kind special office visits need authorization
@harshmishra285026 күн бұрын
Dont send appeal just send it to adjustment and task the location to obtain auth for future rentals , also dont forget to hold the sales order as if not stopped next dos will get the same denial as well ❤
@RAMAKRISHNAN1153 жыл бұрын
Currently on Healthcare industry
@kishankeshri63893 жыл бұрын
Thanks for this!
@dminmb
3 жыл бұрын
You're welcome 🙂
@ravikumar-nf5in Жыл бұрын
Is hospital billing and medical billing are same?
@ZeeshanAhmadmalikMalik10 күн бұрын
❤
@yogeshjohare12313 жыл бұрын
What in case if we bill the claim with pos 23, and still denial the claim for auth?
@mohdakber9930
3 жыл бұрын
Emergency services does not require authorization, you need to call and get it reprocess.
@achilleskesarwani40063 жыл бұрын
I am confused in retro auth, never worked on that. Can you make a video on that
@Imrankhan-th9mn
2 жыл бұрын
It's nothing the patient under emergency situation with a valid reason can go for high cost surgery or any other medical purpose without Authorization and the later you get auth from respective insurance to submit the claim and process.
@prkprvn
Жыл бұрын
Retro auth based on the policies of insurance not matter if u submit all MRs (Office 11) service
@JZ-we4bk3 жыл бұрын
Mam you missed to probe a question, once the resp says Retro auth is NA ( YOU SHOULD ASK - IS THERE ANY HOSPITAL AUTH ACTIVE FOR THAT DOS). ADD THIS
@dminmb
3 жыл бұрын
@A A, Yes, you are correct. Thank you!
@nshravani79883 жыл бұрын
Good job 👍🏻
@oskarnovovic26811 ай бұрын
I'd love the reps would be so kind hahaahahaha they use to throw the phone once you have send the claim back to reprocessing
@rakeshmahankali6090Ай бұрын
i think you missed claim number#
@biswaduke81962 жыл бұрын
Claim number?
@hussaini_12142 жыл бұрын
Make new video am waiting
@prkprvn Жыл бұрын
Any Authorization Analyst jobs bro...
@yogitarathod2626 Жыл бұрын
You didn't ask for claim number
@farhanakhtar89925 ай бұрын
Many questions missed
@princenaerocero18342 жыл бұрын
What is the denial?
@GSAMxPLAYS
Жыл бұрын
A claim that has not been paid due to TFL (Timely Filing Limit) means if the perticular date has surpassed the given date and the provider failed to take the response from the Payer or the Patient can be called a denial claim. It's a loss to the provider the payment will write-off in this case.
@PriyankaSharma-ej4ub10 ай бұрын
Forgot to take the claim#
@raj57353 жыл бұрын
Retro auth is not possible. Is it possible to send appeal letter.
@dminmb
3 жыл бұрын
Appeal is a final hope of claim processing.. we submit med recs stating we did these all services to patient. Sometimes we may receive partially payment
@raj5735
3 жыл бұрын
@@dminmb Thank u
@manojhs6682 Жыл бұрын
Y do we need appeal address when claim is denied completely
@joltil-joyoflittlethingsin3756
Жыл бұрын
For authorisation denial...we can't send a corrected claim...as the doctor or some one in the hospital should have been got the authorisation from the insurance company prior to the service rendered....so the only way we can get the claim to be process is appealing with medical records....or if any retro authorisation (i.e) getting an authorisation after the service was rendered sometimes they may have a portal to get retro authorisation and if no we need to ask whether any hospital authorisation active for that date of service...if this is also no...appealing with medical records or any documents needed by the insurance companies will be done ☺✌
@ravikhatri8922
Жыл бұрын
@@joltil-joyoflittlethingsin3756 and what remarks should we write on the appeal letter?
@joltil-joyoflittlethingsin3756
Жыл бұрын
@@ravikhatri8922 i dont have experience in sending an appeal letter
@PriyaGupta-vj3lr
Жыл бұрын
@@joltil-joyoflittlethingsin3756 If claim was denial fir pre auth is not on file and the provider is given a appeal with attached med rec than we need to check
@shabazahmed57822 жыл бұрын
As you said we need ask claim number and call ref number. In this mock you totally forgotted to take claim#.
Пікірлер: 60
Excellently described the whole call process. thanks keep making more informative videos
Wow, Great calling sample video, if you continue the same for more denials will be helpful for ppl more.
Very easy call procedure thanx a lot.
huge help. thank you. keep it up
Please make more videos . I like your videos.
Awesome and easy to understand❤❤
i can understand easliy please keep it up more denial mock call its very helpful
Hey , I have worked with RCM as an AR follow up but due to a year gap of same profile i was lacking in some terms ,however your all videos cleared my most of the doubts .. Thanks a ton for sharing your knowledge with us...dude... ❤keep.it up keep growing
It somehow same with aetna claims. Hope you'll have an example of it.
Good job bro 🤜
Keeping going bro.. 👍
good job. but you miss you took claim# alright thank you for sharing info/knowledge
Excellent!
Amazing 🤩🤩
Nice
Brilliant
Keep it up
Your explanation is easy to understand, so can you explain about AOB and ABN?. Why didn't you post medical billing video for last 2 years, keep it up sir we will support you.
Super👏👏👏👏👏👏
I have recently joined medical billing company they are giving me eligibility cases can you tell me how to review claim. And what to ask on call?
Check place of service before retro auth.
Long time no see, where have you been bro ?
what kind special office visits need authorization
Dont send appeal just send it to adjustment and task the location to obtain auth for future rentals , also dont forget to hold the sales order as if not stopped next dos will get the same denial as well ❤
Currently on Healthcare industry
Thanks for this!
@dminmb
3 жыл бұрын
You're welcome 🙂
Is hospital billing and medical billing are same?
❤
What in case if we bill the claim with pos 23, and still denial the claim for auth?
@mohdakber9930
3 жыл бұрын
Emergency services does not require authorization, you need to call and get it reprocess.
I am confused in retro auth, never worked on that. Can you make a video on that
@Imrankhan-th9mn
2 жыл бұрын
It's nothing the patient under emergency situation with a valid reason can go for high cost surgery or any other medical purpose without Authorization and the later you get auth from respective insurance to submit the claim and process.
@prkprvn
Жыл бұрын
Retro auth based on the policies of insurance not matter if u submit all MRs (Office 11) service
Mam you missed to probe a question, once the resp says Retro auth is NA ( YOU SHOULD ASK - IS THERE ANY HOSPITAL AUTH ACTIVE FOR THAT DOS). ADD THIS
@dminmb
3 жыл бұрын
@A A, Yes, you are correct. Thank you!
Good job 👍🏻
I'd love the reps would be so kind hahaahahaha they use to throw the phone once you have send the claim back to reprocessing
i think you missed claim number#
Claim number?
Make new video am waiting
Any Authorization Analyst jobs bro...
You didn't ask for claim number
Many questions missed
What is the denial?
@GSAMxPLAYS
Жыл бұрын
A claim that has not been paid due to TFL (Timely Filing Limit) means if the perticular date has surpassed the given date and the provider failed to take the response from the Payer or the Patient can be called a denial claim. It's a loss to the provider the payment will write-off in this case.
Forgot to take the claim#
Retro auth is not possible. Is it possible to send appeal letter.
@dminmb
3 жыл бұрын
Appeal is a final hope of claim processing.. we submit med recs stating we did these all services to patient. Sometimes we may receive partially payment
@raj5735
3 жыл бұрын
@@dminmb Thank u
Y do we need appeal address when claim is denied completely
@joltil-joyoflittlethingsin3756
Жыл бұрын
For authorisation denial...we can't send a corrected claim...as the doctor or some one in the hospital should have been got the authorisation from the insurance company prior to the service rendered....so the only way we can get the claim to be process is appealing with medical records....or if any retro authorisation (i.e) getting an authorisation after the service was rendered sometimes they may have a portal to get retro authorisation and if no we need to ask whether any hospital authorisation active for that date of service...if this is also no...appealing with medical records or any documents needed by the insurance companies will be done ☺✌
@ravikhatri8922
Жыл бұрын
@@joltil-joyoflittlethingsin3756 and what remarks should we write on the appeal letter?
@joltil-joyoflittlethingsin3756
Жыл бұрын
@@ravikhatri8922 i dont have experience in sending an appeal letter
@PriyaGupta-vj3lr
Жыл бұрын
@@joltil-joyoflittlethingsin3756 If claim was denial fir pre auth is not on file and the provider is given a appeal with attached med rec than we need to check
As you said we need ask claim number and call ref number. In this mock you totally forgotted to take claim#.
@pragyaupadhyay3501
10 ай бұрын
U don't forget
Humana reps are Indians though.... lol
@RolexSir213
Жыл бұрын
That was a mock call not a real call recording