Four considerations for adopting a claims denial program:
1. Explore the financial implications and conduct research to determine if a claims denial program is right for your organization.
2. Measure the organization’s current performance in coding and documentation.
3. Automate billing and collection processes to ensure that only valid claims are audited.
4. Measure and monitor whether implementations improve outcomes.
More articles on coding, billing and collections:
Most health systems plan to assume more risk — 3 insights
Discounts and waiving co-payments and deductibles: The compliance risk for ASCs
The 2019 guide to ASC billing, collections & contract negotiations
