HealthLeaders Media February 16, 2024
Billing may be a meticulous process, but sometimes things fall through the cracks.
KEY TAKEAWAYS
– Health systems must be diligent when managing claims denials with payers.
– Although some systems struggle with price transparency, patients prefer it and not estimates.
– An efficient patient portal can take the frustration out of patient communcations.
There’s a long process of medical coding, communicating with payers, and the back and forth of claim denials and appeals before a medical bill reaches a patient. Despite the most meticulous efforts, mistakes are still made.
Recently, Penn State Health voluntarily disclosed that from December 2015 to November 2022, it had submitted claims to Medicare for annual wellness visits that were not supported by medical record....
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