How improve denial management? (1)

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How improve denial management?
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TIPS
UNDERSTAND WHY THE CLAIMS WERE DENIED IN THE
FIRST PLACE

• Before taking steps to streamline your denial
  management process, you should first ascertain
  why the claims were denied in the first place.
• Not all patients are knowledgeable enough when it
  comes to the insurance denial system, and
  educating them to file a claim properly can help
  in solving this issue.

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TIPS
IMPLEMENT AN EHR SYSTEM

• Practices around the globe have seen a
  significant decrease in denials after
  implementing an electronic health record system
  which can verify patient eligibility in
  real-time.
• As the eligibility can be confirmed much before
  the patients' first appointment, healthcare
  practices get more time to get their insurance
  coverage related questions cleared up.

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TIPS
IMPLEMENT A CLAIMS DENIAL LOG

• Maintaining a claims denial log is essential to
  spotting early trends and reacting before things
  get out of hand.
• Today, with rapid advancements in technology, it
  has become easier to maintain electronic logs as
  part of your practice management system. 

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TIPS
PROVIDE YOUR BILLERS THE EXPERTISE IN A SINGLE
CARRIER

• Medium to large healthcare practices with enough
  resources on their hand can ensure that a single
  biller handles only one insurance carrier and all
  claims related to them at one time.
• This not only creates less confusion, but also
  makes your billers the subject-matter expert for
  that particular insurance carrier.

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TIPS
File Appeals Within a Week

• The backbone of a successful denial management
  process is the ability of your practice to be
  able to handle claims properly and resubmit an
  appeal in double quick time.
• Your set process should be fast and reactive
  enough to file an appeal within a week of the
  denial being received.

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TIPS
IDENTIFY COMMON HEALTHCARE CLAIMS DENIAL TRENDS

• More often than not, healthcare practices find
  that the claims being denied follow a particular
  trend.
• Each denial on its own might not be able to tell
  a whole story, but by observing trends, you can
  set a more efficient system in place which would
  help you prevent similar frequent denials from
  occurring.

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CONCLUSION
I hope this tips will help you to denial
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