Billing/Coding Q&A-Billing/Coding Q&A Recording

Video Transcription

Video Summary

The video discusses negotiating higher fees with insurance companies by highlighting the use of higher quality appliances and unique services not readily available in the area. The success of these negotiations depends on the insurance company's policies and the ability to make a convincing argument. Researching and understanding the insurance company's fee schedule and policies, as well as seeking guidance from healthcare attorneys or consultants specialized in insurance negotiations, is recommended.<br /><br />Regarding accessing Medicare portals for same or similar information, the process varies depending on the Medicare contractor. For example, Noridian and CGS have separate portals that require separate registrations. Once registered, the claims history section of the portal can be accessed to search for same or similar information. It is important to know the specific HCPCS codes associated with the criteria being searched, and multiple codes may need to be used for comprehensive results. Regularly logging into the portals and submitting recertifications is essential to maintain access and comply with security protocols. The Medicare portals have strict security measures to safeguard patient information, so adhering to all protocols and guidelines is crucial.<br /><br />Credits:<br />- The content about negotiating higher fees with insurance companies: unclear, not mentioned in the summary.<br />- The content about accessing Medicare portals for same or similar information: unclear, not mentioned in the summary.

Keywords

negotiating higher fees

insurance companies

higher quality appliances

unique services

insurance negotiations

insurance company's policies

convincing argument

researching

fee schedule

policies

healthcare attorneys

Medicare portals

claims history

HCPCS codes

Medicare contractor