A WCIRB survey of California workers’ comp claims found liens were filed on 44% of claims reviewed in Northern California and 64% in Southern California, with roughly 20% of claims
A workers’ comp claim doesn’t get denied because the treatment was wrong. Most of the time, it is refused because someone in billing completed a form incorrectly or used the
When an employee gets hurt on the job, the last thing they should have to worry about is whether their paperwork is right. But that’s exactly every day in clinics,
Nearly 39.5 million people seek medical treatment for personal injury cases every year in the U.S., feeding a market worth over $53 billion. This isn’t a small bite out of
Approximately 96% of personal injury cases are resolved out of court through negotiations and settlements, with only about 4% ever proceeding to a formal trial. Basically, Personal injury collection is
A single wrong referral code can turn a clean claim into a 45-day denial nightmare. That’s the reality for billing teams who don’t fully understand the difference between HMO and
A patient walks in, gets treated, and walks out feeling better. From the business side, though, that visit isn’t finished, not even close. What happens between that appointment and the
A claim gets denied not because the treatment was wrong or the coding was off, but because a patient never called back. That’s the frustrating reality behind the PR 227
If you’ve ever stared at a superbill wondering why the office visit level changed or why a claim came back denied, Medical Decision Making (MDM) is probably at the center
Choosing a billing partner is easy when you’re talking about standard commercial insurance. This is a different story when it comes to workers’ compensation. The claims process is delayed, rules
