Coding and Billing Advice

Need solid advice on demand? Our expert coders and insurance specialists help clients submit clean claims to avoid payment denials. We understand the flow of services, current billing and coding trends and best practices, and the idiosyncrasies of different products, services, and payers. We can assist callers with all kinds of coding inquiries — from the simplest to the most complex.

Reimbursement Tools

We offer lots of practical reimbursement tools, including billing guides, coding sheets, letters of medical necessity, and sample appeal letters. Any of these tools can be either implemented with little revision or further developed and specifically tailored to the needs of individual clients.

Prior Authorization Assistance

We facilitate the prior authorization process on behalf of providers to the extent allowed by the payer. We report back to providers with the detailed parameters of authorization, including time frame, referral process (as applicable), coding requirements, and clinical criteria.

Appeals Assistance

Our reimbursement specialists are familiar with the latest changes in the Medicare appeal procedures and can assist with strategic articulation of clinical rationale to support appropriate payment for patient care or medical technology.

Customized Follow-up Services

Do you need assistance with another aspect of the medical reimbursement process? Chances are, we can provide it! We look forward to speaking directly with clients, learning their unique needs, and customizing our services accordingly.

Benefit Verification Services

We have developed a ten-question protocol for common benefit verification scenarios. This method yields accurate and timely results for our clients by enabling us to efficiently triage, research, and resolve coding and billing issues without a lot of idle or unproductive call time.

Payer Advocacy Services

The InContact Reimbursement Line puts our experts at your fingertips for prompt and effective customer service. We take pride in serving as a liaison between our clients and their payers. When clients report denials on our hotline, we immediately begin work to identify any problematic aspects of the claim and pursue rigorous negotiations with payers to secure coverage. We help gather and submit clinical information, published articles, letters of medical necessity, and other critical documents, particularly for new technologies.

Payer Mailings

Our hotline reimbursement specialists often send out payer mailings to help launch a product with payers, and they follow up to ensure that the materials are received. This proactive initial effort adds familiarity and credibility while also priming the payers for later dialog with our payer advocates.