Claims
Increase in the number of denials Health practices are struggling to manage an increase in the number of denials for coding and billing clean claims and underpaid claims as denial rates have continued to soar. With 33% of hospitals now reporting average claim denial rates of 10% or higher, the provider community is forced to spend nearly $8.6 […]
Six Best Practices for Coding and Billing Clean Claims Read More »
Prior authorizations (PA) have become more than just an annoyance to medical practitioners. Are you looking to know what is prior authorization? It has become a source of trouble and left many complaining about it. Despite its original honorable intentions, PA’s have become notorious for creating detrimental consequences for patients and the industry’s capacity to
What is Prior Authorization and Why is it so Important? Read More »
Beginning with the submission of a claim to an insurer or payer, and concluding with its acceptance, denial, or reduction – is termed claims adjudication. And while the initial claims adjudication definition is not complicated, the finite details of adjudication are intricate and made up of many steps and variables. With 30 percent of claims
Simplifying Claims Adjudication Read More »
