Billing and collections – Harnessing best practices in claim denial management
Abstract: Claim denials are a huge financial drain on physician practices. If nothing is done to reverse a denial, the revenue that it represents is lost to the practice. Fortunately, there are some best practices that can help manage claims denied by payers. This article discusses how to keep a claim “clean” in the first place, how to respond to a claim denial, and how to prevent future denials. A sidebar looks at analyzing data to reveal the root causes of denials.