Tag: Medical claim denials

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4 Revenue Cycle Startegies that Conquer Denials Management

Ensuring effective denial management continues to be the foremost concern for revenue cycle leaders, emphasizing the increasing demand for streamlined processes and vigilant oversight. Over the recent months, there has been a notable surge in challenges related to denials management, presenting a multifaceted and costly issue for revenue cycle leaders. Seeking Cost-Effective Solutions? Explore the […]
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The Profound Importance Of Medical Coding Services in Healthcare Reimbursement

In the intricate realm of healthcare, where patient well-being is paramount, the financial dimension often receives less attention. Yet, it’s imperative to recognize that healthcare encompasses not only patient treatment but also ensuring fair compensation for healthcare providers. Precise medical coding is a cornerstone of this endeavor. This piece delves into the profound importance of […]
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How to Improve the Front-End Revenue Cycle and Get Paid Faster

Numerous pre-claims management factors significantly influence the revenue cycle, underscoring the critical importance of optimizing front-end processes for a healthcare provider’s financial prosperity. The healthcare revenue cycle comprises three distinct phases: the front-end, mid-cycle, and back-end. While significant attention is often given to mid and back-end functions, such as coding and billing, claims management, and […]
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7 Most Common Reasons for Claim Denials

7 Most Common Reasons for Claim Denials in 2023

When a claim gets denied, it not only affects the company’s cash flow but also impacts the patient-doctor relationship. Even some denials get claimed by re-appealing but few claims are left on air – that what something your practice and patient would like to avoid. Poor management in claim processing will negatively impact the revenue […]
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Understand Critical Care Before You Code

A solid understanding of guidelines and COVID-19-related complexities will limit claim denials and audits. Deciphering documentation to determine what qualifies as critical care services can be challenging for medical coders and auditors. With limited critical care codes available for assignment, reporting may appear relatively straightforward at first glance. However, there are many considerations that coders […]
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