Why You Are Not Getting PAID  

Category: Billing

We are going to take a break from all this technical stuff to talk about . . . more technical stuff. But this time, we aren't going to focus on security, we are going to focus on why your claims reject, deny, or just don't get paid in general. If you are a doctor who does your billing in-house or a billing center wondering why you are collecting less than 90% of everything that goes out the door, then read on as this article is for you.

Before I get started, I need to make something clear. I am the head of Information Technology and Software Development for Professional Data Management, Inc. That's right, I work for a billing center. Despite that fact, I'm not here to put in a shameless plug for my company nor am I here to down other billing centers or doctors who've made the decision to do their billing in-house. What I am here to do is call it like I see it based on the experi...