I have some previous experience fighting with the mass-murderers…I mean…insurance companies from the role of a clinic assistant, but I want to hear perspectives from physicians or other providers about your approaches to dealing with them.
I plan on being very familiar with the ICD-10’s and CPT’s and how to match those up as advantageously as possible, but I know that won’t be enough on it’s own. Do you think having someone in the office with medical training whose job it is to deal with insurance companies as their primary/only job is necessary?
“The Adjuster” has definitely captured the collective consciousness and kicked off some serious discussions, but I’m afraid that the mainstream media, corporations, and corporate-owned politicians are going to stamp this out or defy the will of the people so vehemently that it won’t matter what we do short of full-on revolution.
I do recall having done the prior authorization for a medically necessary breast reduction that was not covered by the patient’s plan. Apparently, she worked for a religious organization and they opted out of coverage for ALL breast surgeries that were not mastectomies for breast cancer. So, yes, I am unfortunately familiar with the carve-out plans.