HealthLeaders Media May 10, 2023
One leader has found that using a targeted approach by creating contract experts is a key to warding off payer denials.
KEY TAKEAWAYS
Even if your front, middle, and back-end revenue cycle is a well-oiled machine, payers aren’t shy about throwing a wrench in things.
For example, Cigna recently announced it will deny payment for certain services if records documenting a significant and separately identifiable service are not submitted with the claim.
One leader has found that using a targeted approach for denials by creating teams that work by payer has helped tremendously.
Regulatory burdens and never-ending denials are putting massive strains on revenue cycles, and revenue cycle leaders tend to look toward one culprit:...
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