Medical Billing Coding - Claim turn around time, cpt, codes
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Thread Topic: Claim turn around time
Topic Originator: Jack Lee
Post Date March 17, 2005 @ 6:32 PM
Claim turn around time

Jack Lee
March 17, 2005 @ 6:32 PM Reply  |  Email Friend   |  |Print  |  Top

Does anyone have any information or personal experience on the turn around time for claim's filing electronically, compared to paper?

David W. Miller
March 18, 2005 @ 8:10 AM Reply  |  Email Friend   |  |Print  |  Top

There is no doubt that electronic claims can have a much faster turn around time than paper. This of course does depend of several factors. The software and clearinghouse you use, the accuracy of the billing, the carrier and getting the correct payer ID.

If you want actual case studys. We have a clinic that gets their payments in as little as seven days with electronic claims submission. When they were submitting paper claims it was as long as 90 days for payment.

Another client, a DME provider, was experiencing approximatley 40% of their claims rejected and many claims over 90 days. After using our services and going electronic, on the carriers accepting electronic claims, it is now more to the tune of 7-21 days.

There are times however with this and other clients, that carriers, especially Medicare, will say they never got the claims. And we are talking about electronically submitted claims in the ANSI format with completely accurate information etc. In these cases that is when prompt and effective methods of follow up come in. That is where we as a billing company and our billers as the experts they are come in. And that is why we are in business. Because even with the best of technology, there will always be problems.

David W. Miller, COO
Medical Billing Solutions, Inc.
empowering your practice with profitability

February 19, 2008 @ 6:31 PM Reply  |  Email Friend   |  |Print  |  Top

I am not sure what state you are practicing in but in California:

Electronic Claims have to be acknowledged within 2 day of sending electronically.

Paper Claims have to be acknowledged within 15 days of sending hard copy.

Processing of claims has to be done within 30 days.  So sending electronically will take some days off your AR assuming the claim is clean.  Even if the claim needs reports, modifier, time, etc your turn around time will be shorter as it's getting processed theoretically sooner.

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