Reminder for medical and behavioral health care contracted providers: Periodically compare your most recent insurance contract fee schedule with the actual claims payment documents. Have your billing team do this.
It is quite common for insurances to process from an outdated fee schedule. This means they won’t be paying you correctly, and will warrant a call to the insurance company. Insist that any claim not processed correctly the first time – should be reprocessed using the correct fee schedule.
When I say “a” call to the insurance company – this is tongue in cheek of course, because I really mean a multitude of calls. Issues like this will need hand holding from start to finish. And there again, have your awesome billing team take care of this.
If you need of an awesome billing team – I would love to hear from you.