Accounts with patient–related denials are often classified as self-pay or bad debt because the insurer has pended or denied a claim because they need information from the patient.
These denials are typically based on the provider’s contract with the insurer and require the provider to write off the denied charges.
From managing a complete outsource of workers’ compensation claims to the assignment of individual problem accounts, CMA assists in the recovery of these time-intensive claims. CMA works with a patient’s attorney and the workers’ compensation carrier when a claim is involved in contested litigation to ensure the provider’s claim is paid at the time of settlement or judgment. CMA also appeals denied or underpaid claims with the carrier or state workers’ compensation board and ensures clients are paid at the correct fee schedule or contracted rate.
CMA has decades of experience handling MVA/Third Party Liability claims for our clients, with the legal expertise to keep up with changes in each state’s hospital lien laws. Always included in CMA’s handling of these accounts are the following: