Surefire strategies to reduce claim denials.
Denials can be reduced by undertaking some simple steps: Transfer patients automatically from scheduling to pre-registration to have benefits verified and authorizations obtained. Make sure system data fields are large enough to enter all information needed. Track the frequency of denials for noncontracted services and either include them in the contract at renegotiation or discontinue the billing.
Atchison
Kara
K
Managed Care Solutions, Hollywood, Fla., USA. klatchison@managedcaresolutions.com
D019985:Benchmarking; D003669:Deductibles and Coinsurance; D004608:Eligibility Determination; D005377:Financial Management, Hospital / Q000379:methods*; D006801:Humans; D007344:Insurance Claim Reporting / Q000592:standards; D007345:Insurance Claim Review; D007349:Insurance, Health, Reimbursement; D008329:Managed Care Programs / Q000191:economics*; D014481:United States