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4 lessons from an analysis of general surgery billing denials

It's important to understand why general surgery practices face denials, according to, a consortium of medical billers and coders in the U.S. analyzed 40 centers' billing for general surgery procedures in the first half of 2018.

Here are four findings:

1. Thirty percent of the centers faced denials or had reimbursement adjusted as a result of errors.

2. After centers appealed again, revenue loss generally decreased to about 5 percent.

3. Denials are often caused by two factors: verification and information mistakes or coding errors.

4. Verification and information mistakes include having incorrectly spelled names, mistaken sexes or wrong insurance numbers. Coding errors may occur if physicians leave out important information.

More articles on coding, billing and collections:
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Alternative payment models strain physician practices — 6 study findings

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