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Wednesday September 25, 2013 |
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Are these common blunders leaving your claims unpaid? |
Majority of the healthcare providers in US struggle while dealing with health insurance claim denials.
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Industry Standards State |
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Private Health Insurers |
% of Denied Services |
Medicare |
% of Denied Services |
Non-covered Service |
50.00% |
Non-covered Service |
31.00% |
Patient Not Eligible for Benefits |
25.00% |
Claim Lacks Information |
23.00% |
Claim Lacks Information |
9.00% |
Claim Sent to Wrong Health Insurer |
16.00% |
Prior Authorization Required |
5.00% |
Not Medically Necessary |
14.00% |
Claim Sent to Wrong Health Insurer |
4.00% |
Patient Not Eligible for Benefits |
13.00% |
Documentation Required |
3.00% |
Documentation Required |
1.00% |
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Source: National Healthcare Exchange Services 200 |
How can physicians reduce unexpected denials and rejection?
Read More... |
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Complete Data Analysis:
To identify the denial trends not apparent in the aggregate data
Charge Overview:
To identify loopholes in procedures and check for missed charges
Training Assistance
To facilitate basic coding skills of staff to assess medical necessity
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Read More... |
All these actions help reduce denied claims and increase your practice efficiency and revenue. |
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Get The Best Solutions In RCM Consultancy |
Call Now
for Free Consultation
888 357 3226 |
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MBC |
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Accuracy + Compliance +
Productivity + Higher Revenues |
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Increasing Practice Flow with Enhanced Patient Engagement! |
Patient engagement is a crucial factor in the healthcare systems as it defines the role of physicians and other health care providers. Steps taken to enhance patient engagement in the practice go a long way in achieving better health outcomes and a more efficient health system. However, major gaps in patient care have been found to exist in reality.
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Read More... |
Efficient practice management equals to higher revenues! |
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