Denials are something that is least expected in anything, and a denied medical claim is even more depressing. With so much spent towards medical expenses, and all the pains undergone not only by the patients in their recuperation, but also the billing clerk to put everything in place, denial can affect the system grossly. An efficient denial management service is very much essential to tackle the issues relating to claims.
Keeping track of the below mentioned factors can help in managing claim denials better.
- Logging correct patient information:
Billing systems are a complex procedure, and might involve collecting appropriate patient information. A simple error such as misspelt name, or the age of a patient, can lead to claim denials. Re-checking information, through constant checks and patient involvement can help reduce the negative feedback.
- Using accurate medical code:
The world of medical coding has come a long way now. The new ICD-10 coding system has several characters and intricate details that need to be addressed when the claim is raised. Any small error in coding can lead to a mismatch in the treatment offered and the codes entered, and is one of the major reasons for denials.
- Supporting Documents (Medical records):
Attaching sufficient information through proper document supplied by the clinic can minimize denial sufficiently. A support document is a sure shot way of ensuring your claim will be answered positively.
One of the secrets of denial management is to ensure where we have gone wrong before and not repeat the mistake again, as in any other field. Having proper documentation of the denials, can give us an insight into the problems faced in those claims, and why they have been rejected in the first place. Recognizing key reasons for denials is the first step for denial management, and an experienced management service can help you handle the issue successfully.