Three key denial management strategies:
1. Calculate your denial rate. The denial rate is the total number of claims denied divided by the total number of claims submitted.
2. Track your denial rate against national rates. The national median rate is 3 percent. Low performers are at 10 percent, and top performers are at 1 percent or less.
3. Pinpoint the top denial drivers. Prioritizing denials by Claims Adjustment Reason Code, and then by revenue cycle category, can help identify processes that cause the most revenue loss.
Click here to access Imagine Software’s whitepaper for more best practices.
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