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Using claims denials to improve practice


Herewith a look at how claims denials can be “harnessed” to improve the performance of a clinical practice.

 This Medical Economics piece recommends, among other actions:

“Work with your practice management system, clearinghouse, or reporting mechanism to structure the denials into categories, aligning with the functions of your practice. Categorize denials related to coding (the diagnosis is inconsistent with the procedure) with your coder, eligibility issues (patient cannot be identified as our insured) with your front office, and pre-authorization (the authorization number is missing, invalid, or does not apply to the billed services or provider), and with the provider assigned to this task.”

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