Thank you to all of you for helping make Operation HoHoHo such a success!!
Thank You!! We want to say thank you to all of our clients & friends who dropped off gifts for Operation HoHoHo to help make this year's toy drive such a huge success!! Every year our offices help collect gifts for the families that are staying at the Ronald...
Denials Overturned with Health Plan in Excess of $16,000.00 including Interest
Denials Overturned with Health Plan in Excess of $16,000.00 including Interest Detailed Explanation of Events: Our provider has been a participating provider with a particular Health Plan with their Commercial lines of business and the Medicare Advantage program for...
Correctly overturning incorrect copayments for patient benefit from insurance on specific Procedure code 77014
Procedure code 77014 is used daily during Radiation Therapy treatments. This code is defined by the AMA as; computed tomography guidance for placement of radiation therapy fields. This code is used every day of treatment, usually over the...
Radiation Oncology | Case Study dealing with increasing revenue and decreasing A/R aging
Type of Practice: Radiation Oncology
Problem: In 2011 we acquired a new client, the 90+ A/R aging was at 43%.
Action: MpowerMed’s highly experienced staff reviewed every open insurance claim, challenged the denials, researched the claim history, streamlined appeal letters, established relationships with insurance carriers.
Result: MpowerMed increased the revenue, decreased the 90+ A/R aging to 9% and gained our clients respect.
Radiation Oncology | Case Study about Utilization Management Program
Type of Practice: Radiation Oncology
Problem: Identified areas where the Utilization Management Program was not current with physician treatment protocols for specific diseases therefore denying reimbursement.
Action: Persistently pursued and appealed adverse determination to executive levels from UMP’s administration, state agency’s and other bureaucratic agency’s cutting through red tape on behalf of the client while collaborating with providers in-house billing department.
Result: Overturned case, adjusted proper reimbursement for physician while simultaneously changing the guidelines for treatment protocols, nationally.
