Tag: Claim Denial

Claim Denial Codes

Claim Denial Codes: Reduce Denials & Boost Healthcare Revenue

Claim denial rates are a significant challenge for healthcare providers, with substantial variations based on payer type, location, and specific insurance companies. To understand these variations, it’s crucial to analyze the specific claim denial codes issued by each payer. While the industry standard for claim denials hovers between 5% and 10%, certain payers, notably those […]
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reduce payment turnaround time

Reduce Payment Turnaround Time: Best Practices for Faster Reimbursement

For any medical practice, the timely reimbursement of claims is essential to maintaining a healthy cash flow and sustaining operations. The moment your practice submits a claim to the payer, the countdown begins until you receive the actual payment. Delays in reimbursement can strain your revenue cycle, affect financial stability, and even impact patient care. […]
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Survey: High Initial Claim Denials Impact Healthcare Providers

The Rising Denial Rates in Healthcare Claims Processing Initial Claim Denials: In a new survey conducted by healthcare Company an increased percentage of initial claims are denied by private payers, including pre-approvals for medical claims. Hospitals, health systems, and post-acute care providers may have a difficult time getting paid for medical services. The survey respondents […]
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Coding-Guide-2022

How to Get Paid: Coding Guide for 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 recoupment entirely, but you can reduce […]
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