Multi-layered factors can drive the number of denied claims in the healthcare industry. Regardless of either provider or payor being at fault, it is understandable that denials occur owing to the complex medical billing and coding procedures. Physicians must work closely with their in-house or third-party medical billing services providers to document patient information accurately. In addition, it is essential to ensure that all claims are filed on time.
Let’s look at the top reasons driving the number of denied claims and how these can be rectified:
The most common reason for denied claims is incorrect information. Be it by accident or intentionally, coding and billing errors are the most common reasons for claims denials due to incomplete, missing, or incorrect information.
It is a strategic process that aims to resolve and unmask problems that lead to claim denials.
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