When it comes to active healthcare claims processing, it is essential to create a process that maximizes efficiency to handle denied claims. Most medical practice administrators get worried when it comes to working claims, particularly when the claims are denied. It is essential to identify the potential income loss and begin an effective medical claims…
Tag: Claims Denials
Consequences of Coding Errors
One of the largest causes of medical coding errors is due to inadequate medical documentation. Because of ICD-10, sets of more specific codes have been implemented and the CMS modify codes on a quarterly and annual basis. Incorrect coding, or miscoding, is likely for any medical practice that does not implement ongoing CPT code training for their medical coders. It…
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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