34: Claim Denials in Speech Therapy Private Practice

When you work with insurances in speech therapy private practice, you will have claim denials. In this episode, I discuss common causes of claim denials as well as speak about patterns and trends to watch out for when dealing with insurances so that you can get paid.

In this episode:

01:28 – Happy Mardi Gras 2018!

04:40 – Claim denials in Speech Therapy Private Practice

05:10 – Explanation of Benefits (EOBs)

05:44 – Benefit Checks

06:35 – Documentation and Proof of Insurance Verification

07:05 – Noting Plan Customer Service Representative details

08:16 – Timely Filing rules in Speech Therapy Private Practice

09:16 – Patterns and Trends to note when looking at reimbursements

Also when you look at claim denials for Speech therapy, was it a data entry problem? Did you put their correct data service? What about the patient’s date of birth? Was that correct? Or the subscriber number, was that entered correctly? Every card when you look at the front and back of the insurance card, you’ll see a subscriber number. Also was there an authorization number that should have been put on there? And you want to make sure that there’s no data entry problems on the claim.

[Commercial]

Well, Hello everyone! You’re listening to the Speech therapy Private practice Startup Podcast; this is episode number 34. My name is Kyle Meades and I’m a speech and language pathologist since 1993 and these podcasts are designed to help you improve your business and your life one podcast at a time.

Welcome back to the show everyone. Today is February 11, 2018 and as of today we have well over twenty eight thousand seven hundred and twenty five listeners to the show. Some of which I know for a fact from the New Orleans, Baton Rouge, Southeast Louisiana area and Happy Mardi Gras to you guys down in Southeast Louisiana. Hope you guys are having a good time because every time, this time of the year rolls around I get real homesick. Here in the Tucson, Arizona sunny dry and a missing night gumbo, fried shrimp, oysters, red beans, rice and sausage. It’s crazy.

The other day, yesterday at the office she says, “Hey Kyle, what’s a king cake?” I say, “Well that’s something we eat in New Orleans around this time every year in New Orleans. It’s a pastry is kind of like a bagel cinnamon roll and it’s in a circle form and it’s got sugar on top of it. The sugars colored green and gold and purple those Mardi Gras colors and there’s a little plastic baby in there and everybody gets slice and whoever gets the plastic baby has to buy the next King cake for the next party. Now everybody is like well, “Don’t swallow the baby, you can’t. No, you don’t swallow the baby. You spit it out and show it to your friends and say I got the baby I gotta get the next King cake.” And where do you get a King cake?” I say, “the best place to get a King cake is either Gambino’s bakery or Haydel’s bakery on the West Bank. They got the moist King cake. You want it to dry has got to be moist. Anyway this is some second line music from the city of New Orleans and if you hear this. Anywhere in the area of New Orleans southeast Louisiana it means you’re close to the Mardi Gras parade route. So this is it.

I used to live on 716 Dauphine, New Orleans in the French Quarter and my balcony wrapped around and looked down Dauphine street down towards Downtown. And then you kind of wrapped around Orleans and you look towards Bourbon Street and the sights that you used to see from that balcony I could write a book. Good clean family fun from that balcony I tell you what. Have you guys ever been in New Orleans?