Site Sections:
Copyright 2009. Universal Solutions by SCM. All Rights Reserved
YOUR LEGAL RIGHTS
FREE PATIENT INFORMATION

Universal Solutions believes our
members should be well educated on the
issues that effect all of us. Through
education and advocacy, real health care
reform can take place. Check back
regularly for updates, news stories, case
studies and hints to resolving disputes.
Universal Solutions believes
our members should be well
educated on the issues that
effect all of us.
*
Through education and
advocacy, real health care
reform can take place. Check
back regularly for updates, news
stories, case studies and hints
to resolving disputes.
*
Please send us links, comments
and questions. If we don't have
the answer, we will find it for
you.
*
For a free seminar for your
group, please e mail us here.
HEALTHCARE INITIATIVES
TOP 10 REASONS FOR DENIED HEALTHCARE CLAIMS


CPT/ DIAGNOSIS CODE MISMATCH

MISSING 5TH DIGIT FROM DIAGNOSIS CODE

INCORRECT CARRIER BILLED

WRONG OR MISSING MODIFIER

NOT MEDICALLY NECESSARY

NO AUTHORIZATION ON FILE

WRONG INSURANCE ID # OR GROUP ID #

COORDINATION OF BENEFITS

COVERAGE TERMED PRIOR TO DATE OF SERVICE

PATIENT WENT TO WRONG FACILITY OR PROVIDER
For further explanations of the above issues or if you have a denial
for one of the above, please contact us immediately.
Healthcare Billing fraud costs every
One of our members was charged $179 for
a blood pressure reading!

Patients insurance companies are routinely
charged for tests never received!

In the last 10 years, the average insurance
premium cost rose 125%!

1/3 of ALL durable medical equipment
companies are fraudulent!
60 MINUTES REPORT ON HEALTHCARE BILLING FRAUD October 25, 2009
FRIGHTENING STATISTICS
NBC REPORT ON HEALTHCARE BILLING FRAUD December 11, 2007