What We Do
SUPPORTING YOUR FAMILIES:
Our claim appeals services can be a valuable resource for medical providers who are struggling with denied insurance claims. By referring families to our services, medical providers can ensure that their patients are receiving the compensation they deserve and that their revenue cycle management is not disrupted. Our experienced team of professionals can assist with pre-authorizations, third-party medical billing, claims follow-up, and appeals for any denied insurance claims. By partnering with us, medical providers can focus on restoring patient health while we handle the disputes with health insurance companies. With our help, medical providers can ensure that their patients receive the care they need while keeping their revenue cycle management on track.
DIRECT PROVIDER SERVICES:
Are you spending more time than necessary dealing with denied health insurance claims? FixMyClaim is here to help. As your partner in claims and denial management, we offer a range of services to assist your office with pre-authorizations, third-party medical billing, claims follow-up, and appeals on any denied insurance claims.
Our services include pre-authorization and utilization management, peer-to-peer reviews, verification of benefits, insurance policy reviews, medical claim submission, revenue cycle management, insurance claim follow-up, administrative and expedited appeals, and licensure and provider contracting issues. Denials Management is HIPAA and OIG compliant, so you can trust that your patient’s information is kept confidential.
If your patients are experiencing issues with denied claims, such as medical necessity denials, or if your office is struggling to recoup funds for medical bills or obtaining pre-authorizations, contact us today and let us help you fight to recover insurance funds!
Our pricing structures are designed to fit your specific needs, with hourly and contingency-based pricing options available. Call today to learn more about how we can help your office focus on restoring patient health, not handling disputes with health insurance companies.
Pre-authorization and Utilization Management
Assistance with obtaining pre-approvals for treatments and procedures
Peer-to-Peer Reviews
Review of denied claims by medical professionals to determine the best course of action for appeals
Third-party Medical Billing
Management of medical billing, including claims processing and accounts receivable
Verification of Benefits
Verification of patient insurance coverage and benefits to ensure correct billing
Insurance Policy Reviews
Review of insurance policies to ensure compliance and maximize reimbursement
Medical Claim Submission
Submission of accurate medical claims to insurance companies
Insurance Claim Follow-Up
Follow-up on insurance claims to ensure timely and accurate payment
Licensure and Provider Contracting Issues
Assistance with licensure and provider contracting issues, including compliance and contract negotiation
Supporting Revenue Life Cycle Management with Back End Audits
FixMyClaim’s healthcare claims denial appeal services can help you streamline your appeals process, reduce the number of denied claims, and improve your revenue cycle management.
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At FixMyClaim, we understand that a denied claim can have a significant impact on a healthcare provider’s revenue life cycle management. That’s why we offer a comprehensive back-end audit that can help identify the root cause of claims denials and prevent future denials from occurring. Our team of experienced professionals will work with providers to analyze their current appeals process, identify areas of improvement, and develop new strategies for navigating the appeals process. This back-end audit can help providers streamline their appeals process, reduce the number of denied claims, and ultimately improve their revenue cycle management. By working with us, healthcare providers can ensure that they are receiving the maximum reimbursement for their services and providing the best possible care to their patients. Contact us today to learn more about our services and how we can help you optimize your revenue life cycle management.
How FixMyClaim Patient Referral Process Works
We offer a completely free referral service for healthcare providers. When you refer your patients to us, we work with them to navigate the insurance review process and address any denied claims.
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As a healthcare provider, you know how frustrating it can be to deal with denied claims. Not only does it impact your bottom line, but it can also be stressful for your patients. That’s where FixMyClaim comes in. Our completely free referral service can help your patients navigate the complex world of healthcare insurance and get the coverage they deserve.
When you refer your patients to us, we work with them to navigate the insurance review process and address any denied claims. Our team of experienced professionals will gather all necessary information and documentation, file appeals on their behalf, and even represent them in hearings if necessary. We understand that healthcare insurance can be overwhelming, which is why we take care of everything, so you and your patients can focus on what really matters – their health.
In addition, we go the extra mile to align with the most suitable services that can cater to your patients’ unique financial situations. You can trust us to provide competitively priced packages that offer a range of options for your patients to choose from, ensuring they get the help they need while staying within their budget.
By referring your patients to FixMyClaim, you can rest assured that they are receiving the support they need to get the coverage they deserve. This can help improve their overall health outcomes and reduce their stress levels, which can in turn improve their satisfaction with your practice.
In short, referring your patients to FixMyClaim is a win-win situation. Your patients get the support they need to navigate the complex world of healthcare insurance, and you can focus on providing the best possible care. Contact us today to learn more about our referral service and how we can help your patients navigate the healthcare insurance landscape.
Pre-Authorization and Utilization Management Services
Our pre-authorization and utilization review services are conducted by a team of licensed clinicians who are experts in policy requirements, medical necessity denials, and effective communication with Insurance Care Managers.
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Our pre-authorization and utilization review services are conducted by a team of licensed clinicians who are experts in policy requirements, medical necessity denials, and effective communication with Insurance Care Managers. Our clinicians work closely with mental health and substance abuse facility teams to ensure their success during the utilization review process.
We understand that the utilization review process can be complex, which is why we provide comprehensive training to facility clinicians. Our team covers topics such as medical necessity denials, the differing medical necessity criteria for multiple levels of care, the intricacies of the utilization review processes, and how to create effective clinical documentation. With this training, facility clinicians are well-prepared to navigate the utilization review process and provide the necessary documentation to support medical necessity.
By working with FixMyClaim, mental health and substance abuse facilities can be confident that their utilization review process is being handled by a team of experienced clinicians who will work tirelessly to ensure their success. Contact us today to learn more about our pre-authorization and utilization review services.