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Why denials continue to be a challenge?

Every healthcare organization needs to work on three fundamentals for denial management- prevention, analysis, tracking and trend management. It is important to understand why claims get denied, to streamline the denial management process, to track the progress and outsource the process, if needed.

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Why denials continue to be a challenge?

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  1. According to a survey by AAFP (American Academy of Family Physicians), denials are a frequent occurrence accounting for between 5-10% of hospital claims. Industry experts believe that in order to improve revenue flow, it is very important for providers to keep this number close to 5%. And in order to achieve this, they need to have a robust denial management process in place. Every healthcare organization needs to work on three fundamentals for denial management- prevention, analysis, tracking and trend management. It is important to understand why claims get denied, to streamline the denial management process, to track the progress and outsource the process, if needed. Why denials continue to be a challenge? http://www.247medicalbillingservices.com

  2. Why denials continue to be a challenge? You will be surprised to know that there are quite a few numbers of providers who still use the manual denial management process. According to a survey by HIMSS Analytics, at least 31% of providers still use the manual denial management procedure. As per an article in RevCycle Intelligence, most providers or hospitals don’t have an effective denial management process in place, be it manual or electronic. According to a blog post on Medical Group Management Association, only one out of three providers (35%) appeal denied claims. Why denials continue to be a challenge? http://www.247medicalbillingservices.com

  3. Perks of Electronic Denial Management Process Electronic claims denial management is the need of the hour because keeping up with the changes in diagnostics codes and insurance policies can be extremely exhausting for billers and coders. With the right software, codes and requirements are automatically updated. This saves research time which can be then used by the billers to double check claims and ensure that all requirements are being met. Error-free claims will lead to zero denials. Why denials continue to be a challenge? 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 Why denials continue to be a challenge? http://www.247medicalbillingservices.com

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