When a physician provides medical services to a patient, the expectation is that they will receive reimbursement for that service. When the payer issues a denial and requires a claim adjustment, the provider doesn’t receive their payment. Many times these denials can be appealed, depending on the reason for the denial. Below, the medical billing…
Tag: claims adjustments
Step by Step Efforts to Combat Claim Denial
A practice’s efforts to reduce claim denials should begin with an understanding of its greatest source of denials. Run a series of denial reports over a period of time (3 weeks, or 3 months) that include: denial reasons procedure codes reported modifiers diagnosis codes payors The results can be your greatest asset in identifying the…
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