Tag: Policy Terminations

There is a bit of a Cold War of sorts, raging between Private Insurance “providers” and your neighborhood Health Care professionals (and it’s NOT the Govt getting in between the two.)

It’s the battle over Claim Denials. It’s an “arms race” that just keeps escalating …

DMI: Denial Management, Inc — The Claims Solution People

The Problem:

One in seven claims are denied by insurance companies. This can cost your clinic or practice thousands of dollars every year.

http://www.claimsmgt.com/produ…

That’s about 15% of Claims, Insurers choose NOT to pay. So, Doctors need all the help they can get, to stay focused on Healing, NOT Bill Collecting!

Denial Management Services

Problem: Most Health Systems lose between 3% and 5% of net revenues as a result of payment denials.

Solution: Outsource your denied claims to DMI, the foremost industry leader in capturing additional revenue.

http://www.claimsmgt.com/compa…

We learned last week from LA Times reporting, and from Congressional Hearings, that Insurance companies routinely try to drop your Insurance policy, if you happen to get one of their “Hot List” illnesses.

Getting any of these illnesses, can Trigger the Insurance Company’s “Cancellation Police”, into action.

Denial Specialists scour your medical history, and cross-check that against your application, looking for any reason to Cancel, or rescind, your Insurance policy, thus saving the Insurance Company untold thousands in future payments for your expected Care. Denial Specialists, of course, earn bonuses for each Policy they cancel. What a system!

Those 4 illnesses (out of the 1000+ such Triggers) previously disclosed are:

breast cancer, high blood pressure, lymphoma and pregnancy

Well thanks to the tough questioning of the Oversight and Investigations Sub Committee, at least 2 more Triggering Illnesses have been disclosed, as indicated in the video and transcript of the Hearing:

The 2 other newly disclosed “Drop List” illnesses, include:

ovarian cancer, and brain cancer