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Did you miss this article from yesterday like I did? Anyone else wonder why denials are up across all payer types? If we can help you get caught up with your denials, please reach out! I am happy to have a discussion!
Add our Denials Navigator to mitigate the effect of denials on your revenue cycle. Stop spending hours analyzing data and reviewing hundreds of denials trying to determine root causes; Denials Navigator has dynamic alerts for regular updates! Read here: https://zurl.co/mm8H
Your Partner in ABA/ST/OT/PT Success: Billing & Credentialing services, Practice Management Software, Credentialing Software and more.
Denials are inevitable in some cases, despite taking precautionary measures to ensure a smooth claims process. We understand how frustrating this can be, which is why we've created this guide to assist you. It's crucial to act promptly and accurately when appealing denials. To minimize denials, ensure the following steps are followed: 1⃣ Verify that the claim includes all relevant details. 2⃣ Double-check the details before submitting a claim. 3⃣ Perform a VOB and obtain prior authorization before providing the service. (P.S. We offer these services for you.😉) 4⃣ Adhere to the payer’s guidelines. If you're considering outsourcing your denial management, feel free to DM us. We'd be more than happy to assist you. To learn more, book a demo. #deniedclaim #claims #insuranceclaims #deniedclaims #denialsmanagement #claimdenied #claimdenials #revenuecyclemanagement #rcmservices #rcmsteps #deniedclaimsspecialists #deniedclaimsexperts #healthcaremanagement #ababilling #billingexperts #billingservices #abastartups #revenuecyclemanagementhealthcare #revenuemanagement #ababilling #appliedbehavioranalysis #bcba #speechtherapy #physicaltherapy #occupationaltherapy #therapistsoflinkedin
Know Your Payer, Know Your Approvals! Understanding payer-specific prior authorization requirements is key. Don't waste time on denials. Research each payer's guidelines before submitting requests. This includes documentation requirements, timeframes, and specific forms. Know more: https://lnkd.in/debHD9wu #medicalbillingandcoding #medicalbillingcompany #medicalbilling #medicalbillingservices #PrimeCareMBS #PriorAuth
NOT GETTING PAID? INCREASED DENIALS ARE TO BLAME Denials have long been a sore spot for revenue cycle leaders and now they seem to have a worsening effect on an organization’s bottom line. Click the link below to read the complete article.
Navigating medical claims can be a complex process, and even small mistakes made by front-end staff can lead to costly rejections. Here are some common reasons for these rejections: Incorrect Patient Information - Simple errors like misspelling a name or entering the wrong date of birth can lead to immediate claim rejection. Incomplete Forms - Missing information such as patient demographics or insurance details can halt the claim process. Eligibility Issues - Failure to verify a patient’s insurance coverage can cause rejections due to ineligibility. Wrong Insurance - Selecting the wrong insurer will result in claim denial. Ensuring accuracy and thoroughness in these areas can significantly reduce the chances of claim rejections and improve your revenue cycle management. Interested to read further about this? Explore our latest blog on this topic, featuring tips for making improvements: https://zurl.co/x3bD #RevenueCycleManagement #MedicalBilling #MedicalPractice
NEW BLOG: What's the best way to work denials? How long is the resolution window? And how can teams prioritize them to work recoverable denials first? Get a complete #DenialManagement primer here.
Medicare prescriptions can make or break your monthly budget. That is why its important to review your coverage every year. Book an appointment with me today to review your coverage for next year:
Not commenting on this article per se, but if you don't have a GOOD method for denials/underpayments management (your team, or someone's team/software for hire) then stories like this should scare your pants off. Alleged info follows: Humana used algorithm in 'fraudulent scheme' to deny care to Medicare Advantage patients, lawsuit alleges https://buff.ly/47kRqBK
Not commenting on this article per se, but if you don't have a GOOD method for denials/underpayments management (your team, or someone's team/software for hire) then stories like this should scare your pants off. Alleged info follows: Humana used algorithm in 'fraudulent scheme' to deny care to Medicare Advantage patients, lawsuit alleges https://buff.ly/47kRqBK
