L.A.Burgess, LLC

L.A.Burgess, LLC We help practices recover denied claims with a passion for education and commitment to our clients!

The Cost of Not Calling💸 One missed phone call = One denied claim.Example:❌Portal says MRI is covered❌No call made to co...
08/16/2025

The Cost of Not Calling

💸 One missed phone call = One denied claim.

Example:
❌Portal says MRI is covered
❌No call made to confirm CPT-specific prior auth requirement
❌Claim denied: “Authorization required”
❌$2,500 in lost revenue + upset patient

📌 Lesson: Always confirm with the payer — not just the portal — especially for high-cost services.




📞 Don’t rely on portals alone — pick up the phone.Many online verification tools don’t display CPT-specific requirements...
08/15/2025

📞 Don’t rely on portals alone — pick up the phone.

Many online verification tools don’t display CPT-specific requirements for prior authorization or coverage.

✅ By calling, you can:

Confirm if a service is covered

Check if prior authorization is needed for that exact CPT code

Ask about visit limits or special conditions

🛡 Protect your revenue — a quick call can prevent weeks of denial appeals.


Key Verification Questions — Ask every time you confirm benefits:1️⃣ Is the policy active for the date of service?2️⃣ Wh...
08/14/2025

Key Verification Questions

— Ask every time you confirm benefits:

1️⃣ Is the policy active for the date of service?
2️⃣ What is the copay amount?
3️⃣ Has the deductible been met?
4️⃣ Is prior authorization required for this service?

📌 Pro tip: Get the payer rep’s name and a reference number for your records.



Key Verification Questions:📝 Ask these every time you verify benefits:Is the policy active?What’s the copay?Deductible m...
08/13/2025

Key Verification Questions:

📝 Ask these every time you verify benefits:

Is the policy active?
What’s the copay?
Deductible met?
Provide frequent CPT codes to verify if prior authorization is needed, or provide surgery or imaging codes when you need to schedule an appointment.

📲 Making calls for eligibility checks = more accurate, and trackable.


Top Verification Mistakes.⚠️ Top Verification Mistakes:1️⃣ Not checking secondary insurance2️⃣ Ignoring out-of-network s...
08/12/2025

Top Verification Mistakes.

⚠️ Top Verification Mistakes:

1️⃣ Not checking secondary insurance
2️⃣ Ignoring out-of-network status
3️⃣ Forgetting to confirm deductible & copay

📖 Real Example: Surgery denied for lack of authorization — $8,000 lost.

Double-check now, avoid headaches later.




Address

Orlando, FL
32806

Opening Hours

Monday 8am - 6pm
Tuesday 8am - 6pm
Wednesday 8am - 6pm
Thursday 8am - 6pm
Friday 8am - 6pm

Telephone

+18554875860

Website

,

Alerts

Be the first to know and let us send you an email when L.A.Burgess, LLC posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Shortcuts

Share

Category