Medical Economics July 28, 2022
What you need to know to avoid claim denials and to maximize practice revenue
Despite your best efforts to follow billing guidelines, payers still deny your claims.
Or in some cases, they pay you and then take the money back. Experts say you can’t ever eliminate denials and post-payment recoupments entirely, but you can reduce them by focusing on coding and documentation compliance. Listed below are eight of the most common reasons for denials and how to avoid them.
1 Incorrect patient status (i.e., new versus established)
How to get paid: Don’t make assumptions. A patient who is new to you isn’t necessarily a new patient per official definitions. For example, did the patient have an audio-visual telehealth appointment within the...
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