Challenge: Reduce Denials

March 13, 2014

Struggling with denials? We recently contributed an infographic to HFMA’s Revenue Cycle Strategist to illustrate the top reasons that claims get denied. Looking across our database of more than 300,000 providers, we found that the most common reasons for claims denials are duplication, lack of information, and care not being covered by a payer.

To eliminate these errors, we recommend that you:

  • Provide complete and accurate information. Use a real-time claims management solution to help your team conquer coding challenges and avoidable claims rejections.
  • Always check eligibility. Determine patient coverage—including co-pays, deductibles, inpatient days used, and other pertinent benefit data—so you can collect payments or make other payment arrangements before rendering services.
  • Reduce duplicate submissions. Ensure that you can view every step of the claims submissions process to avoid duplications. ZirMed offers an easy-to-use claims management online dashboard.

The full chart appeared in the February 2014 issue of HFMA’s Revenue Cycle Strategist newsletter. Check out the article here(subscription required).

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