Doctors Can Your Staff Write An Appeal Letter

Doctors Can Your Staff Write An Appeal Letter

I know this sounds weird but the truth of the matter is most people cannot write a letter; especially, an appeal letter. 

When I was working in a doctor’s office I worked in a four-story building with all doctors. One day I needed to write a letter and decided to check the office next door to see what kind of letters they write. 

To my surprise, the office manager told me they do not send letters not collection letters to the patients or letters to the insurance companies for payment. I was shocked. I decided to try other offices on my floor and I found out the same information.

I went back to my office and I wrote the letter of appeal to the insurance company. The doctor I worked for had just purchased a new computer with software and I asked the software technician if they have any collection or appeal letters for their customers to use.

 He said, “No.”

I then proceeded to write collection letters for my doctor and also appeal letters. I asked the software technician if he wanted a copy of the letters for their software company.

He said, “Yes.” I didn’t charge them but I thought this was something which was needed.

Later I was working in a large hospital billing office and to my surprise, I found out that appeal letters were not written correctly. I was then asked by my supervisor to write up sample appeal letters and put them on a CD and let the other members of the department use them.

This is why my two books were written. Fight Your Medical Insurance Nightmares. Let me show you how.

Appeal/Collection Letters For Medical Providers.

Doctor’s if your appeal letters are getting denied it is probably because of the way the appeal letter was written.  Try reading some of the letters which were denied and then read my books.  The Insurance Companies will pay you.

Linda Meckler author, copyright 2017

Medical Providers, You Can Get Paid

Do you think because you are a medical provider you are automatically paid when you bill the medical insurance companies? 

The insurance companies come up with reasons not to pay your insurance claims.

Your staff the people who work in your office and the ones which bill the insurance companies will need to be on top of every piece of paper or Explanation of Benefits (EOB) received from the insurance companies. This is where the detective work is to be able to read and decipher what the denials mean. These denials are the blueprint into how to get your insurance claims paid.

It sounds like such an easy thing to say and do but in reality it isn’t. I was once on a job interview and the woman who was interviewing me asked if I was organized.

I said, “Yes.”

She then proceeded to tell me that the person who was handling insurance billing and follow-up for that medical practice was sticking every piece of paper received from the insurance companies in a big garbage bag. This was the reason the medical practice was not making any money because without following up on the EOB’s there isn’t any payment. The question was what would I do with the EOB’s which were still in the garbage bag and still coming in daily.

My answer was this, “I would alphabetize all the EOB’s in a folder. There was more than one denial for each patient. These all needed to be chronologically put in order by name and date of service.”

She did not like my answer but to be truthful I didn’t know how else to solve the problem. The EOB by the patient’s name and date of service will explain to you line by line why the claim was not paid.

Now everything is electronically online and can be looked up by insurance company patient’s name and date of service to find out this information. The EOB’s still come into the office and if they are read and taken care of immediately there will be a cash flow into the medical office.

Linda Meckler, author copyright 2017