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It is
better if you send information to Integrated at least weekly.
We have had clients send us billings once every other week, monthly,
or sometimes a few times a year! If you plan on using paper processing,
make an envelope for Integrated on Monday, stuff it all week,
and mail it out on Friday. If you fax documents, either send
things daily or pick a day and send us all you have on that day
each week. And please DON"T SEND 30 PAGE FAXES. If someone takes out a telephone
pole in Kansas, some of your pages may show up garbled. Try to
limit the fax batch to about 10 pages please.
If for
some reason the claim is denied waiting a long period of time
before sending it to us to bill the carrier can cause you serious
losses. If something isn't covered the first month or the patient
doesn't really have the carrier they said, and you have given
them product for months you run unacceptable risks. Even if the
claim is paid, you are not maximizing your profit.
If you
send a Medicare claim that is six months old or close to that
you will lose ten percent automatically as a late filling fee.
Medicare will allow you to go back for up to fifteen months but
you lose 10% automatically if the billing date is six months
from the delivery date.
Some products
require specific steps be followed to be covered. Waiting weeks
or months can cause denials if those steps aren't followed exactly.
Medicaid
allows you only 6 months in most states to submit a claim. Workman's
Comp and some other insurance carriers also have time frames
that must be worked within to ensure payment. For some products,
it is vital to get a Prior Authorization Number before the delivery
of product to the patient.
Weekly
at least, you should forward Explanations Of Medical Benefits (EOMB's) and Remittance Advices
(RA's).
Both words mean the same thing. Either fax them (in small batches
please) or mail them to Integrated. We review them to look for
denials, reductions in payment, and to forward to secondary carriers
for copayments or deductibles owed you. If you don't send us
your RA's, then we will assume everything was paid. We have clients
that only send us the RA's that fail, but never send us the ones
that work. DENIALS
SHOULD BE SENT ASAP!
When faxing
Integrated, please
don't send a fax cover page. We can tell who you are and that page telling
us who you are is a waste of paper. Honest, we don't need fax
cover pages!
When faxing
CLAIM INPUT DOCUMENTS (CID's), please don't send a fax cover page or copies
of the patients insurance cards. Whatever numbers you put on the CID, we believe
you!
When faxing
claims for new, and especially existing patients, please don't send
us a copy of the script. If you tell us who the doctor is, and the
diagnosis, there is nothing on the script we need. If there is
a reason we need the scrip, or any other information, we will
contact you.
Some clients
have "HALF SHEET CID's FOR EXISTING PATIENTS" that
where produced two per page. others have a version with just
one per page and some instructions. If you only use the top,
please just fax us the top and don't send us the instructions
on the newer versions!
If the
patient is already on file with Integrated, please do not resend
the full sheet NEW PATIENT CID. Don't send documents we don't
need please.
Did we
mention that we would prefer if you would enter your information
via the internet? Please, save a tree!
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