Denials are something that no one expects, and a denied medical claim is even more upsetting. Denials can have an annual impact on the system. To address claims-related issues, an effective denial management service is critical.
The following are a few factors that can help you keep better track of your claim denials.
1. Correctly entering patient information:
Billing systems are a difficult procedure that requires the collection of pertinent patient information. A simple error, such as a misspelled name or a patient’s age, can result in claim denials. Double-checking information, as well as patient involvement, can help reduce negative feedback.
2. Correct documentation:
Attaching accurate information via proper documentation provided by the clinic can significantly reduce denials. A support document is a sure way to ensure that your claim is answered positively. One of the secrets of denial management is to remember where we went wrong before and not make the same mistake twice. Having proper documentation of the denials can provide us with insight into the issues that were encountered in those claims and why they were rejected in the first place. Recognizing key reasons for denials is the first step in denial management, and an experienced management service like ACP can assist you with this.
3. Using current medical codes:
Medical coding has come a long way in recent years. When filing a claim under the new ICD-10 coding system, several characters and intricate details must be addressed. Any minor coding error can result in a mismatch between the treatment rendered and the codes entered, which is one of the most common reasons for denials.