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Denial Prevention Strategy

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

November 17, 2023 / Alex J. Lau / 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 / Alex J. Lau / Billing, Claim Denials, Claim Rejection, Claim Status Updates, Denial Codes, Denial Management, Denial Prevention Strategy, Denied Claims, Denied Medical Claims, RCM, RCM Challenges, Revenue Cycle Management
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

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Recent Posts

  • Medical Credentialing Specialist Searching Payers

    Credentialing Onboarding for New Providers: A Practice Manager’s Guide

  • Paye Contracting Requirements by State

    Payer Contracting Requirements by State: What Changes; What Stays the Same

  • AI Scribes Changing Medical Coding and Billing

    AI Scribes are Changing Medical Coding, Reimbursement

  • Net Collection Rate, analyzed by analyst

    What’s a Net Collection Rate in RCM?

  • Modifier 96 versus Modifier 97

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