Within constantly changing payer landscapes and payer requirements, a reimbursement hotline staffed with dedicated reimbursement experts bridges the gap between providers, manufacturers, and payers. Such a dedicated reimbursement team can play an invaluable role to educate providers on submitting clean claims, appealing denials of coverage and payment, as well as other payer requirements. Selecting such an expert team to help providers stay informed of your Product’s coding, billing, and coverage requires careful consideration. The following is a list of tips to help guide you in your decision.
Tip #1 – Verify the contact center employs sound standard operating procedures (SOPs), Protected Health Information (PHI) policies, training and implementation programs and staff members that are knowledgeable and passionate about policy and compliance.
Tip #2 – Ensure that call center staff training focuses on competent provider support that will in turn improve patient access and product adoption.
Tip #3 – Understand how the center can support your Products and therapies today and in the future.
Tip #4 – Ensure that the call center can customize services to your unique company needs within compliance requirements.
Tip #5 – Verify the contact platform offers omni-channel support across all common modes of communication such as fax, secure HIPAA compliant email and telephone.
Tip #6 – Ensure that the call center management statistics show that the services provided are consistently high-quality, timely, and dependably compliant.
At GIRS, the InContact Reimbursement Hotline provides support to client Products across the U.S. to resolve complex reimbursement issues which leads to improved patient access within a compliant environment. We have an almost 100% success rate to appeal denials. In addition, GIRS integrates the patient – level non – coverage with our regional – and national – level payer alliance services for better coverage outcomes. Contact Us to learn more about how we can support your accounts and sales teams safely.