What should you do to prevent claims denials on the front-end, mid-cycle, and back-end? By engaging our best practice clients and reviewing data from our own denial management system and have come up with 13 ways to prevent claims denials.
As a healthcare provider, one of the most frustrating facets of working within the industry is inevitably facing denied insurance claims. Whether it happens due to expired insurance, or your employees entering the information incorrectly, it's something that all healthcare providers have to pay particular attention to. If these denied claims are not managed properly, healthcare providers could lose thousands of revenue dollars.
If you are a healthcare provider, it is almost inevitable that you will have to navigate through denials and payer audits. However, there are certain practices that can be implemented to better manage your denials, improve your claim quality, help you manage and track the challenges of audits, and reduce the overall chances of an audit and manage those you must undergo. If you don't know these best practices already, how could you?