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Timely medical claim reimbursement/payments for the medical provider are a serious problem by most of medical practices nowadays. How can a medical practice survive with slow revenue? too many claims denial

According to USFDA, a combination product is one composed of any combination of a drug and device; biological product and device; drug and biological product

and rejection? The solution here is to get the collection done as effectively as it can.

Empirically, insurance companies will delay or deny claims payments! They are very slow on medical reviews, predeterm

; or drug, device, and biological product and fixed dose combination would include two or more combinations of drug.

Examples of combination products may in

ination and processing claims. I think, that is one of their business strategies in doing business. They are too is running their own business’ revenues. But if you are a good medical biller, you are aggress

lude drug-coated devices, drugs packaged with delivery devices in medical kits, and drugs and devices packaged separately but intended to be used together.

ive and can effectively collect payments in less than the time your provider expects.

Having an effective office manager in your practice that knows the administrative task is very important. As a provider,

here is enormous increase in the number of combination products entering the market in the recent years. Combination products have proven advantages but fixe

you should be more focused on your patients’ care and not on how you run your practice. Your patients must know their benefits and eligibility. Encourage your patients to contact their insurance company reg

d dose combinations are still in the process of convincing regulatory authority on their advantages over the single ingredient formulations.

Combination pro

arding their unpaid claims. The insurance is more attentive when the member makes the phone follow up.

As a medical biller myself, I can collect Medicare payments by “paper billing” in less than 2 weeks!, y

ucts have become life saving products for the pharmaceutical companies who doesn’t have many innovative molecules in their product pipeline and have been inc

ou can imagine the electronic claims submission. I refuse denial and rejection, because I believe, if the medical service have been rendered, it is just right to have it get paid. Many of my provider clients

easingly used in the product life cycle management. Even the companies having product patents are trying to extend their product life cycle through the combi

just give up, but, well, I don’t. As long as he wants his payments, I never give up collecting his money.. at the end, we were successfully got paid. It is just a matter of how you deal with the insurance a

nation products and maximize the revenues. But the companies involved in this practice are overlooking that they are burdening the patients both economically

nd aggressive follow-ups.

Medical claims should be submitted on a daily basis. Never delay claims submission. Promptly respond “immediately” to insurance letters that you receive, if they require additional

and physically. They need to rightly judge the benefits of the combination products and they have to even look at the risks involved when combining the produ

documents, such as, medical referral, medical prescription, progress notes and letter of medical necessity to process the claims. Always comply what they require to expedite processing of the claims.

As a

ts. Some of the combination products were well accepted by physicians while others suffered. Companies involved in development of combination products are fi

medical biller, you should also be a medical coder. The doctor gives the diagnosis description on the script but usually always with the wrong diagnosis code. It is not their concern to code a diagnosis, but

ding difficulty in defining their combination products and facing various challenges from selecting a combination to marketing it.

Following aspects would a

to descriptively provide the diagnosis. You must know how to analyze and help your provider submit the right diagnosis code. Analyzing the proper and right diagnosis code is also very effective to get paid.

dd to the challenges in developing combination products:

Which markets to tap where the combination products can do fairly well?
Which combination prod

Remember that when submitting your claims, the insurance company does not read your diagnosis’ description. They process claims based on the right procedure codes and based on medical necessity (diagnosis c

cts are meaningful and rational?
Which therapeutic categories to select?
Which Combinations can address unmet needs of the patients?
Do combin

ode) Right procedure, service and supplies coding is also very essential in submitting your claims (CPT/HCPCS, Modifier Codes). There are procedures that the insurance denies for payment because it is NOT me

tions increase the patient compliance?
What would be the developing cost?
How to tackle the risks encountered during combination product developmen

dically necessary based on the diagnosis on the patient. You should understand each insurance company’s payment/fees guidelines.

But here’s the thing, “if” the insurance company still keep on denying your c

t?

As combination products don't fit into the traditional categories of drugs, medical devices, or biological products, the USFDA is in the process of devel

laims, then it’s time for them to get notified, they will be reported for non-payment of claims to the proper agencies/bureaus if they don’t process your claims in 15 days!. I think, this time they will be m

ping new procedures for reviewing their safety, efficacy and quality.

Professional from academic institutions, pharmaceutical industries, health care indust

ore attentive.

Now, here is another issue, you should choose a medical billing company that will help you do all this. It is going to be a big decision that you have to make. But here are the things that yo

y and representatives from various regulatory agencies are working out to design the regulatory requirements for manufacture and sale of combination products

u have to consider in making that decision:

(1) Able to handle accounts regardless of the medical practice account’s size

(2) Electronic & Paper Billing Capability with fast-turn around time

(3) Experienc

.

As there is an increasing trend of the combination products companies manufacturing such products should be able to tackle the problems involved in the de

ed in analyzing proper procedure and diagnosis coding

(4) Lesser claims rejection/denial. Efficient in filing of appeals for denied claims

(5) Knows how to submit claims on worker’s compensation and “no-fa

elopment. They need to be wiser in analyzing the market trends and the regulatory requirements.

Companies that provide selfless information through particip

ult”

(6) Unlimited client support and able to provide full service medical billing

(7) and the most important thing, they strictly understand, follow and comply with HIPAA guidelines, rules and regulations

tion in industry events and feedback to regulatory authorities would be able to face the challenges and will be successful in developing combination products

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In my experience there are a lot of companies out there that make claims exactly like the title of this article. In other words, you buy their product or service and they will then do the work and you will make money.

Proper training of your cleaning staff not only leads to cleaner buildings, but it also means fewer accidents, faster cleaning times, and a more professional cleaning staff. Use these tips to help ensure your cleaning staff learns to do their job safely and efficiently.

For your business to really prosper, you have to get deep down and dirty to ensure that really get clear on issues you are facing. And those your people are facing too...

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