Practice Page: Denials Management Can Help Maximize Reimbursements for Physician Practices

Efficient and timely reports are essential to the success of your denials management plan. There should be daily and weekly reports to monitor problem areas in the accounts receivable and payment process. Through the management of denials, there are opportunities for rheumatology practices to identify problem areas and create opportunities to recover lost payments and better analyze the performance of the practice.

Denials management is not a one-time process, but an ongoing procedure to prevent unpaid claims that result in lost revenue. The outcomes will be well worth the effort. If you need further information, or assistance creating a denials management strategy for your practice, contact the ACR practice management department at [email protected].

Reference

Keegan DW, Woodcock EW, and Larch SM. The Physician Billing Process: 12 Potholes to Avoid in The Road to Getting Paid. 2d ed. Englewood, CO: MGMA; 2009.

Denied claims represent unpaid services, or lost or delayed revenue. Avoiding claims denials is the responsibility of everyone in a practice. Any deficiency on a focused strategy for denials management will have unfavorable resolutions to denials or lead to writing off the service without payment. With the changing landscape in practice management, the best route…

Denials management is a growing issue in physician practices nationwide, and your practice could be losing tens of thousands of dollars yearly if you do not have a denials-management strategy in place.

One month has passed since the U.S. healthcare system overcame a historical milestone with the conversion from billing ICD-9-CM to ICD-10-CM. Although the transition to ICD-10 had a major impact on coding operations, its far-reaching tentacles go beyond coding alone and are deeply rooted in the entire revenue cycle. There is room to criticize the…

Physicians are increasingly fighting multiple forces in running a practice, and one of the most common barriers to effective revenue cycle management is frequent medical billing and claim denials. An insurance company’s denial for services places a significant strain on the financial process of the practice, which affects the bottom line. According to the Medical…

Reference

4 Steps to Prevent Unnecessary Claims Denials

Practice Page: Using Denials Management to Maximize Reimbursements

Revenue Cycle Management in Physician Practice Improves with Staff Communication, Training

Tips to Manage, Prevent Medical Billing Claim Denials

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