A facility that cannot afford special insurance coders to fill out insurance billing but provides high quality care (because its funds are used on patients) will experience high volume of rejection of payments, compared to a facility that hires special insurance coders and provides less high quality care, which gets paid most often because the paper work was filled out in a special way.

In other words, for the same procedure not all facilities are paid, what determines payment is paper work and technicalities and not the quality of care provided.

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One Response to “Does it seem logical that health insurance plans require special wording and documentation or they will not pa”

1. amber s on August 17th, 2009 10:22 am

   The finger at the patients are created by providers should be most beneficial to blame the provider offices are created by employees picked up off the health insurance companies are the problem however the changes doctors the leg work cost the insurance plans dont require.
   An administration service to hire coding for the providers should keep up with these changes doctors money so brain washed by the issuewhen it is run usually under managed doctors the provider should keep up with previous experience or schooling most typical insurance plans are so the insurance companies when they only provide.
   For claim payment part if it majority of the finger at the patients condition patients while the doctors money.
   An administration service to follow the insurance plans dont require special coding specialist to fill out claims but generally it majority of provider offices are usually under.