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Worker’s Compensation Follow-Up and Recovery Services:
Park Dansan is a proven leader in Worker’s Compensation outsourcing. Park Dansan’s Worker’s Compensation specialists come from the insurance industry. Their experience and expertise with Worker’s Compensation claims enable Park Dansan to not simply follow a claim, but obtain payment at the rate of over 96 percent of placed claims!
Following and recovering Worker’s Compensation claims is a complex undertaking. It is labor-intensive, and requires dedicated staff. Unfortunately, many internal departments at hospitals and physician networks simply do not have the resources and expertise to effectively handle the volume of Worker’s Compensation claims in-house.
Because Park Dansan specializes in outsourced Worker’s Compensation follow-up and recovery, we can take the burden off of the internal staff and allow them to concentrate on more immediate and profitable tasks. And, because Park Dansan’s fee is a small percentage of the recovered claim, we have the desire to maximize your profitability.
Unlike abbreviated services, Park Dansan thoroughly tracks each claim and actively works it until final resolution. And, unlike typical law firm partnerships, Park Dansan does not simply write a letter and hope for the best – we fully adjudicate each claim and provide documentation of all efforts. The end result is a low-cost and profitable addition to your patient financial services department, and opportunities for your staff to be directed to more immediate financial tasks.
Park Dansan’s process for Worker’s Compensation Claims Recoveries includes:
- Identifying the payer through appropriate State web sites
- Calling the carrier to obtain the claim number, adjuster information, mailing or fax information and other necessary data.
- Obtaining the UB04 or Form 1500 and all applicable medical records form the client
- Appropriate documentation of claim number on all records and having those records delivered to the specific adjustor
- Following-up with the carrier if the claim has not been paid within 30 days – for all claims
- If no first report of injury is on file with the specific carrier, provide appropriate forms to employer and provide specific instructions, including telephone numbers, to successfully file a first report of injury
- If the employer is uncooperative, we provide the patient with the information to file his/her own first report of injury
- Provide itemized statements, UB04, Form 1500 and medical records to all parties needed under specific state statutes
- Continue follow-up process until final resolution is established
- After payment is received, the claim is reviewed for underpayments due to PPO adjustments, improper coding or other relevant underpayment anomalies
Park Dansan dedicates considerable resources to stay current with specific state laws and processes in effective Worker’s Compensation recoveries. We maintain comprehensive listings of employers and payers that enable us to provide comprehensive service to our clients without the need for repetitive research.
We believe our services and results are technically superior and significantly more client-focused than other offered in-house or external programs. And, because our success is based upon the success of your recoveries, we are motivated to maximize your profitability through ethical and consistent dedication to your needs.
If your internal efforts are not at their maximum potential, we would be glad to provide details about our comprehensive approach to Worker’s Compensation profitability. Call us today for a no-obligation consultation about your Worker’s Compensation recovery needs.
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