Minimize and Manage Medical Billing Denials
90% of denied claims are preventable. Do you want your practice to better manage denials, improve your rate of clean-claims and have expert assistance through every step? HealthCare Management Solutions can do all that and more.
- Reduce cost associated with denied claims and lessen the burden on the staff.
- Improve compliance to reduce regulatory risk.
- Rely on the expertise of our certified staff to process and solve underpayments.
- Identify what’s causing denials + identify a solution to improve your rate of clean-claims.
1%
of medical claims are denied
5%
of all first denied appeals are won
4%
of denied claims are preventable
There are a number of ways you can avoid medical claims denial. Here are 6 key ways you can improve your claims success:
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- Leverage Technology – Invest in billing and practice management software that can help streamline the billing process and reduce errors. These systems often include features for automated coding checks and can flag potential issues before claims are submitted.
- Educate Staff – Ensure that your staff is well-trained in coding and billing practices to minimize errors that can lead to claim denials. Regular training sessions and updates on coding changes can be beneficial.
- Perform Insurance Verification – Verify beforehand that a procedure or treatment is covered by the patient’s insurance plan
- Improve Clinical Documentation – Maintain thorough and organized documentation for each claim. This includes patient records, treatment plans, coding documentation, and any communication with the insurance company. Accurate and complete documentation can support your claim or an appeal.
- Know Your Payers – Maintain open communication with insurance companies. If there are recurring issues, reach out to the payer for clarification and guidance. Building a good working relationship can be beneficial when addressing claim denials. And know their uniquenesses and potentially proprietary ways.
- Run Audits – Regularly monitor key performance indicators (KPIs) related to billing and claims processing. Track metrics such as denial rates, days in accounts receivable, and clean claims percentage. This can help identify trends and areas for improvement.
Claim denials may be a fact of life, but that doesn’t mean your practice should settle for inadequate management strategies and abandoned revenue.
Benefits of Working with Us
- Improve short- and long-term cash collections
- Reduce write-offs and protect revenue
- Decrease denials by identifying root causes
- Implement tools and processes for sustainable improvement and transition back to in-house staff
I have noticed a great deal of improvement since we started implementing your recommendations…income has picked up substantially since your visit in the order of twice to three times what we were receiving prior to your visit. Thank you!
Stanley Wilkinson — Administrative Assistant @ Searcy Hospital
Let’s Get Started
Please fill out the form here and give us an idea of how to serve you best. One of our representatives will contact you right away.