The Spiess Group

Claim & Billing Assistance

We can personally assist your patients with insurance claim and billing problems so you can reduce your utilization of debt collection services. By working with patients' insurance companies to assure the proper coding and submission of claims, we help make sure you, the provider, are reimbursed as appropriate for services rendered.

Grievance Appeals

We work on behalf of your patients investigating denied claims and/or authorizations for procedures or treatments and file grievance appeals where appropriate. Our Registered Nurse Health Care Advocates personally participate in each step of the appeals process, with you and your patient, to assure the best possible outcome.

Case & Disease Management Referrals

Insurance companies typically trigger case or disease management of patients based on certain diagnoses or high claim dollars spent. What about your patients who might fall through the cracks, but truly need the assistance offered by these programs? Our Health Care Advocates work with insurance companies to make sure patients with early chronic disease states or those not yet otherwise identified by their insurance carriers applicable programs get the services they need.

Health Care Providers

The new guidelines and expectations developed by health plans, government bodies and professional organizations have barraged physicians with an overwhelming and time consuming array of new expectation and demands.

Increasing Your Efficiency

Caring for the insured patient as frustrating as caring for the uninsured?

Tired of having insurance deny what you believe to be medically necessary procedures?

Spinning your wheels trying to collect payments due to you from commercial insurance companies for services rendered to your patients?

The Spiess Group puts our clients first, actively assisting patients and you, their health care provider, to navigate the ever-changing and frustrating health care system. Our Health Care Advocates, highly experienced Registered Nurses, can assist you and your patients to assure that:

You receive payment due from the patient's insurance companies for services rendered
Your patients receive reimbursement due from their insurance companies for payments made in full to you at the time of service
Medically necessary procedures and treatments are approved by the insurance company
Patients with early disease states and long-term chronic conditions are adequately managed by their carriers' applicable disease management programs

Put the Spiess Group's knowledge and experience to work for you increasing your efficiency so you can focus on your patient.