get that stack of payer concerns that’s been sitting on your desk for 6+ months, cleared & mark it done!

Payer Insights On Demand

laser coaching

For medical practice managers and healthcare administrators ready to get clear-cut, no fluff or fillers, direction to resolve that never-ending list of denied and underpaid services.


Start here to maximize provider reimbursement

Address those key pain points & obstacles that cause the lists of denied & underpaid services to continually expand.

With this focused and concentrated approach, you’ll quickly maneuver through the bottlenecks that have been keeping you on the hamster wheel. You’ll have a roadmap of low-effort, high-impact steps that won’t disrupt your process or your day.

Get a meaningful explanation behind what’s driving the claim denials, learn when it makes sense to appeal, and what to do when you simply can’t get through to a live person.

If you could get the right answer to your payer relations questions in 20 minutes & accessible when you need it – for all your contracted payers…

would you give yourself that opportunity?

Or would you continue to…

1

Call every payer, every day, sit in the queue for 50 minutes, to hear a representative read the same denial back to you?

2

Post questions on social media for shortcuts, tricks, & clever ways to get through the health insurer’s system? (BTW, this doesn’t qualify as a strategy.)

3

Play phone and email tag with your network rep to ultimately be given a vague & confusing explanation why 95% of the denials on your list with hundreds of lines aren’t going to be paid?

the good news is…

You can rewrite the story!

Using your existing workflow and resources, you’ll uncover how to strategically – and correctly – recover outstanding payer A/R and significantly reduce the amount of time spent doing it.

6 Ways Payer Insights On Demand Will Transform Your Practice Operations

decode the issue(s)

Uncover the origin of the concern and remedy the whole problem, not just the 1 piece you’re seeing. (99% of the time it’s not what you think)

set clear objectives

Work smarter, not harder with SMART goals specifically targeted to your practice needs, concerns, workflow and contracted payers.

remove the guesswork

Know who to contact and what to say to fast-track your concerns so they don’t get added to the bottom of someone’s “to do” list.

reclaim time in your workday

Score an automatic win with an inside advantage & proven solutions at your fingertips. Immediately address payer disruption & cut through hours of red tape & bureaucracy.

results focused

Why laser coaching? Because this framework is built solely for results. Success is the only option. Besides, you don’t have time to add another project to your plate.

the definitive solution

Stop wasting time trying to outsmart health insurers. This solution offers 1 contact to point you in the right direction for all your contracted commercial health insurers.

“It really works!”

We were finally able to get our arms around the unpaid services. For years, it’s been a constant back and forth with reps and appeals managers. Each person only wanted to own a small piece of the denials, making it a ongoing effort to get 1 list reviewed. In the meantime more claim denials were rolling in. Now, my open denials stay between 30-60 days old. And the best part is, we got there in less than 6 months.

c. Baylor

Take Charge Of Your Claim Management

what’s included and how it works

60 days of unlimited, 20 minute, laser coaching sessions

  • Schedule your initial 30 minute complimentary strategy session, where we’ll review your area(s) of concern and outline the goal.
  • Once we’ve defined the goal(s), schedule your first 20 minute laser session.
  • In each session, you’ll receive an action step toward the stated goal.
  • Upon completing the recommended action, schedule your next session. Repeat, after each action.
  • All sessions are recorded and will be sent by the next business day for easy reference and review.
progress & results at your pace and on your schedule

Get your payer A/R moving in the right direction

your investment

$8500

Payment due prior to your 1st laser session

A/R solutions for all of your contracted payers
Resolve multiple claims simultaneously
Strategic plan centered on the root cause
Effortless online scheduling
60 days of unlimited coaching, at your convenience

FAQs

Often times clients perceive that they have a lot concerns. The truth is, many of those A/R concerns are based on the same issue. Resolving at the root cause level, allows us to address multiple issues and claims at the same time. Clients who schedule at least 1 session per week are able to address and resolve an average of 4 major payer concerns.

The service is designed to address one core issue at a time. If each location is focusing on the same issue, the practice manager or billing manager from each location is welcome to participate, at no additional charge.

No. It does not provide the specific procedure codes, revenue codes, modifiers, or diagnosis codes that will process for payment.

Here’s a sample of the topics clients bring to their initial strategy session. This is by no means an exhaustive list.

  • You are certain a service should be reimbursed, but the payer doesn’t see it that way
  • Need a process to research and follow up on claim denials that doesn’t take 80% of your day, everyday
  • Unsure if you’re taking advantage of all of the provisions listed in your provider contract
  • Can’t get a response from anyone for a variety of concerns
  • Services aren’t paying at the contracted rate
  • Receiving denials stating authorization wasn’t obtained, yet you have a valid auth
  • It’s taking more than 60 days for a claim to be reprocessed
  • Your A/R is in the 6 figures, and growing, and you want the plan to address it with immediacy

Payer Insights On Demand is designed for you to get immediate results on the payer relations issue(s) sitting on your desk right now. 180° Insights is an in-depth, holistic service that covers your end-to-end payer experience and addresses every component of the provider reimbursement cycle.

Please email your question to hello@mdofficeinsights.com. Thank you.

Success Is The Only Option

Address the backlog to free up time & resources

3 ways to proceed

  1. Spin your wheels – daily – using a hodgepodge of information from practice management blogs, conferences, medical specialty organizations, journals.
  2. Invest even more money and time into training new team members and getting the latest RCM tech.
  3. Follow a clear, direct path that will get you to your goal, quickly.