Denials, coding, prior auths, and your revenue cycle

Physicians Practice March 29, 2024
Todd Shryock

Navigating payer denials requires the most expertise to handle within revenue cycle management

Denials management, coding, and prior authorizations are the revenue cycle tasks that require the most subject matter expertise, according to a survey from AKASA, a developer of artificial intelligence for health care operations.

More than 550 health care financial and revenue cycle leaders were asked: Which revenue cycle tasks require the most subject matter expertise? They could select up to five out of a list of 15 tasks. The top choices were:

• 78.7% said denials management
• 50.1% said coding
• 49.7% said prior authorization

Denials management not only requires the most subject matter expertise, but it’s also the most time-consuming task within revenue cycle management —...

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