Billing & Credentialing Cranberry Twp. (Pittsburgh)
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Denial Codes

This Halloween, Scare Away the Denied Claims!

October 24, 2024 / admin / Articles, Claim Denial, Claim Denials, Claim Rejection, Denial Analytics, Denial Codes, Denial Management, Denial Prevention Strategy, Denials, Denials Managements, Denied Claims, Denied Medical Claims, Halloween
Halloween: Scary Denial Claims

🎃 BOO! Did that denied claim just give you a fright? Don’t worry – we’re here to help you turn those scary denials into sweet success. Just like preparing for trick-or-treaters, a little preparation goes a long way in the world of medical billing. Let’s unmask the spooky specters of denied claims and learn how […]

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Claim Denial, Claim Denials, Claim Rejection, Denial Analytics, Denial Codes, Denial Management, Denial Prevention Strategy, Denials, Denials Managements, Denied Claims, Denied Medical Claims, Halloween

From Denials to Dollars: Effective Appeal Strategies

October 15, 2024 / admin / Articles, Denial Codes, Denial Management, Denial Management Process, Denial Prevention Strategy, Denial Trends, Denial vs Rejection, Denials, Denied Claims, Denied Medical Claims
Denial Management Resource

Denials are an unfortunate reality, in the world of insurance claims and medical billing. However, a denial doesn’t have to be the end of the road. With the right approach and effective appeal strategies, it’s possible to turn these denials into approvals and recover rightful reimbursements. We’ll explore the art and science of appeals, providing […]

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Denial Codes, Denial Management, Denial Management Process, Denial Prevention Strategy, Denial Trends, Denial vs Rejection, Denials, Denied Claims, Denied Medical Claims

Handling Denied Claims and Appeals in Medical Billing

April 24, 2024 / admin / Articles, Denial Analytics, Denial Codes, Denial Management, Denial Management Process, Denial Prevention Strategy, Denial Trends, Denial vs Rejection, Denials, Denied Claims, Denied Medical Claims, Medical Billing

Denied medical claims represent one of the most significant challenges in healthcare revenue cycle management. These rejections create financial strain, operational inefficiency, and resource allocation issues that require systematic resolution processes. Industry data indicates denial rates ranging from 5-10% on average, with certain specialties experiencing rates of 20-30%. A denied claim occurs when an insurance […]

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Denial Analytics, Denial Codes, Denial Management, Denial Trends, Denied Claims, Denied Medical Claims

Strategies for Dealing with Denied Claims

February 21, 2024 / admin / Articles, Billing, Claim Denial Prevention, Claim Denial Rate, Claim Denials, Claim Rejection, Claim Rejection Rate, Denial Analytics, Denial Codes, Denial Management, Denial Prevention Strategy, Denial Trends, Denials Managements, Denied Claims, Denied Medical Claims

Dealing with denied claims is one of the most frustrating and time-consuming aspects of medical billing. However, there are several strategies billing staff can employ to efficiently handle denials, appeal them successfully, and prevent denials from occurring in the first place. We analyze the most effective ways to deal with denied claims in medical billing. […]

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Billing, Claim Denial Manager, Claim Denials, Claim Rejection, Claim Rejection Rate, Denial Management, Denial Prevention, Denial Prevention Strategy, Denial Trends, Denials, Denied Claims, Healthcare Billing, Medical Billing, RCM, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization

How to Take Your Medical Billing to the Next Level in 2024

January 27, 2024 / admin / Articles, Billing, Billing AI, Billing Automation, Billing Best Practice, Billing Revenue, Billing Services, Claims Management, Coding, Denial Codes, Denial Management, Denial Trends, Denied Claims, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing AI, Medical Billing Analytics, ROI

Medical billing is a complex and ever-evolving field. With constant changes in regulations, coding guidelines, reimbursement rates, and technology, medical billing services must continuously adapt and improve to stay competitive. Taking your medical billing to the next level requires focusing on efficiency, optimization, training, and utilizing the latest tools and software. Implementing the strategies outlined […]

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Clearinghouse, EDI, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Strategy, RCM, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization, Robotic Process Automation, ROI, RPA

Navigating the Rise in Denials: Strategies for Successful Denial Management in Medical Billing

November 17, 2023 / admin / Articles, Data Management, Denial Codes, Denial Management, Denial Prevention Strategy, Denial Trends, Denied Claims, Denied Medical Claims
Rejected, Denied Medical Claim

As healthcare payers implement more rigorous utilization management programs, denial rates on medical claims have been steadily climbing – up to nearly 10-15% on average for practices based on reports. Denials directly impact revenues and practice bottom lines due to the costs of reworking and appealing claims. We offer an overview of building a denial […]

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Claim Denials, Denial Codes, Denial Management, Denial Prevention Strategy, Denial Trends, Denied Medical Claims, Healthcare, Healthcare Billing, Medical Billing, Medical Billing Service, Revenue Cycle, Revenue Cycle Management, Revenue Cycle Optimization

Growing Risk of Claim Denials: How to Protect Your Practice

October 6, 2023 / admin / Articles, Billing, Billing Denied Claims, Claim Denials, Claim Rejection, Claim Status, Claim Status Updates, Denial Codes, Denial Management, Denial Prevention Strategy, Denial Trends, Denied Claims, Denied Medical Claims, RCM, RCM Challenges, Revenue, Revenue Cycle Management, Revenue Integrity, Revenue Leakage
Medical Claim Denied

For medical practices, claim denials have always been a fact of life when dealing with health insurers. However, trends show claim denial rates growing year over year, driven by increased utilization management efforts by payers. Denials directly impact practice revenues and the time/costs tied to appealing denials. Below, we take a gander at the factors […]

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Claim Denials, Denial Codes, Denial Prevention Strategy, Denial Trends, Denials, Denied Medical Claims, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Revenue Cycle Management, Revenue Cycle Optimization

Denial Codes in Medical Billing: A Comprehensive Guide

May 21, 2023 / admin / Articles, Billing, Billing Best Practice, Billing Services, Claim Billing, Claim Denials, Claim Rejection, Claim Status, Denial Codes, Denials Managements, Denied Claims, Denied Medical Claims, Rejected Claims
Rejected, Denied Medical Claim

Welcome to our comprehensive guide on denial codes in medical billing. As a leading authority in the healthcare industry, we understand the challenges healthcare providers face when it comes to navigating the complex world of medical billing. Our goal is to provide you with valuable insights and actionable strategies to help you overcome denial code challenges […]

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Denial Codes, Denial Management, Denied Medical Claims, Healthcare, Healthcare Billing, Medical, Medical Billing, Medical Billing Service, Outsourced Billing, Revenue Cycle Management, Revenue Cycle Optimization

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Practices Served

  • Behavioral Health
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

Practices Served

  • Behavioral Health
  • DME
  • Urgent Care
  • Speech Therapy
  • Geriatric Medicine
  • Skilled Nursing Facilities (SNF)
  • Substance Abuse
  • Genetic Testing
  • Pharmacogenetic (PGx)
  • Toxicology
  • Allergy Testing
  • Oncology
  • Pathology
  • OBGYN
  • Internal Medicine
  • Biologics and Specialty Drugs
  • Telestroke and Teleneurology
  • Digital Therapeutics (DTx)
  • Remote Patient Monitoring
  • Remote Therapeutic Monitoring
  • Home Infusion Therapy
  • Sleep Study Labs
  • Physical Therapy (PT)
  • Occupational Therapy
  • COVID-19 Testing

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