7 Most Common Reasons Why Claims Get Denied

1. There are several reasons why several medical claims are denied these days. Policies have gotten trickier or harder to interpret, and there is the possibility of miscommunication and several other factors. These denials or lowering of the reimbursement amounts can profoundly impact the workflow, staff management, customer influx, and breach of trust and even inflict heavy losses to the company. These problems can be handled by third-party medical billing services at a considerably low cost and also prevent these from happening at all for just a few extra bucks. 7 Most Common Reasons Why Claims Get Denied http://www.247medicalbillingservices.com

2. Here are some common occurrences of these claims and how to prevent these medical claim denials. Outdated Insurance Information: One of the most common mistakes would be providing information that is outdated and is no longer valid. Missing or Incorrect Information: This factor is another primary reason for denials of a claim. This aspect could be easily prevented by double-checking the data and cross-checking before entering it in the database. Authorization/ Pre-authorization required services: Some specific services require authorization or pre-authorization from agencies before availing them. For example, CT scans would require pre-authorization before being performed on the customer. Several other procedures also are necessary to be authorized. 7 Most Common Reasons Why Claims Get Denied http://www.247medicalbillingservices.com

3. Change of/in insurance plan: Any change in insurance plans is also a factor in increasing medical billing denials. Claim requested at wrong company or location: This is a simple enough problem that could be avoided if the patient knows about the policy thoroughly. Services not granted and duplicate claims: The services that were not allowed to customer despite being mentioned in the plan are a cause of denial in some cases. Claim filed too late: This is a common cause of denial. If the claim is invalid due to the authorization timing out, claim expired, or policy does not cover the date on which the service was availed, then it is possible that the claim will be denied or rejected. 7 Most Common Reasons Why Claims Get Denied http://www.247medicalbillingservices.com

4. About 247 Medical Billing Services:We are a medical billing company that offers ‘24/7 Medical Billing Services’ and support physicians, hospitals, medical institutions and group practices with our end to end medical billing solutions. We help you earn more revenue with our quick and affordable services. Our customized Revenue Cycle Management (RCM) solutions allow physicians to attract additional revenue and reduce administrative burden or losses. Contact: 247 Medical Billing ServicesTel: +1 888-502-0537Email: info@247medicalbillingservices.com 7 Most Common Reasons Why Claims Get Denied http://www.247medicalbillingservices.com