Episode 103

Getting it Right on Insurance Claims

with Dr. Ezana Azene and Dr. Christopher Beck

BackTable, LLC (Producer). (2020, December 28). Ep. 103 – Getting it Right on Insurance Claims [Audio podcast]. Retrieved from https://www.backtable.com/podcasts

Dr. Ezana Azene M.D., Ph.D. talks with us about how he found his side gig reviewing insurance claims, and shares tips on how to avoid insurance claim denials for procedures.

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Podcast Participants

Dr. Ezana Azene

Dr. Ezana Azene is an Attending Vascular and Interventional Radiologist at Gundersen Health System in Wisconsin and insurnace claim reviewer on the side.

Dr. Christopher Beck

Host Dr. Chris Beck is a practicing interventional radiologist with Regional Radiology Group in New Orleans.

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Show Notes

In this episode, Dr. Ezana Azene joins Dr. Christopher Beck to discuss reviewing medical cases for insurance claims. Dr. Azene tells us how often he reviews insurance claims for IR procedures, and he explains what the step-by-step process looks like once he gets a case to review.

We discuss how to search for information to show a procedure was done in extenuating circumstances by looking at clinic notes and labs, in addition to previous reviews from other physicians. We review some mistakes that physicians make that could keep an insurance claim from being approved, and we discuss why documenting all previous interventions is important.

We explain why it is helpful to understand the patient’s insurance policy and how citing articles and references can support an insurance claim. Dr. Azene shares how reviewing medical cases has improved his documentation, and we give some advice on how to get involved in this process.


RESOURCES MENTIONED:

IR Quarterly article featuring Dr. Azene
https://connect.sirweb.org/e-irq/participate/viewirqarticle?DocumentKey=ec2b47d8-e067-4628-a40a-ab19021ab36a

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Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

 
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