Shifting The Focus From Denial Management To Denial Prevention

 

With the revenue cycle industry evolving every day, RCM practitioners and decision-makers need to stay updated on the trends. Trust Revel, a Revenue Cycle Industry Newsletter from Medical Billing Wholesalers, to bring you updates on issues impacting the revenue cycle business.

The adage, “Prevention is better than cure”, does apply to Claim Denials as well. An effective denial prevention program requires an iterative process that includes identification of root cause, finding solutions to prevent the issue from recurring in the future, the institutionalization of these procedures through updates to standard operating procedures, and training the staff on these practices. In this whitepaper from Medical Billing Wholesalers, we bring you a few steps that you can take to prevent denials.

Denial Management Services

We understand that each denial case is unique. We correct invalid or incorrect medical codes, provide supporting clinical documentation, appeal any prior authorization denials, understand any genuine denial cases to pass the responsibility to patients, and follow-up effectively. We re-validate all clinical information before re-submission. Click on the link below to learn more about our denial management services.


About Medical Billing Wholesalers

Medical Billing Wholesalers (MBW) provides business process outsourcing, revenue cycle KPI measurement, and robotic process automation tools. The company operates from 5 delivery centers in Chennai and Bangalore and has sales offices in New York, Dallas, Fort Lauderdale, Las Vegas, and Nashville. Through our clients, we support over 2,000 physicians across over 20 medical specialties and uses over 15 EMR/practice management systems today. The company applies proprietary workflow tools, and robotic process automation capabilities to help clients do more with the revenue cycle.

 

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info@medicalbilllingwholesalers.com | +1 (718) 249 2245

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Revenue per Encounter – The top revenue cycle metric

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Emergency Department Coding Guidelines and Best practices