Category: Claims and Denial Prevention
10 Common Reasons for Claim Denials and Fixes
Healthcare organizations experience revenue loss when claims are denied or delayed. Evidence shows that nearly 15 to 20 percent of all medical claims are denied on the first submission, and of those, more than half could have been prevented through stronger documentation, coding accuracy, and administrative controls. Understanding the Common Reasons for Claim Denials is […]
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How Data Analytics Can Reduce Claim Denials?
Data Analytics to Reduce Claim Denials-Healthcare providers continuously face financial pressure from rising operational costs, evolving payer rules, staffing shortages, and reimbursement uncertainties. Among the most significant financial challenges is the persistent issue of claim denials. Denials delay payment, increase administrative workload, and reduce net revenue. However, many organizations manage denials reactively instead of proactively, […]
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