Key strategies to reduce claim denials

Claim denials can be complicated at most and confusing at best. Conquering the rules and regulations of medical billing and coding is one of the biggest challenges in the fight against denials and clean claim submissions. It’s extremely important that medical practices ensure that claims are filed appropriately the first time.

A denial management action plan is critical for practice success. Inaccurate claim submissions result in claim denials, which in turn causes delayed payments and extra work for staff. According to published statistics from MGMA and Change Healthcare, the approximate cost of reworking a claim is $25.20. This cost can turn into a huge expense for the practice.

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