How to Reduce Claim Denials from Providers?

Posted March 17, 2021 by JennyVergeese

Along with these best practices, be familiar with clearing house and understand the claim format properly, so you don’t have to think of making errors in your claim forms.

Claim denials are common in medical billing for practices, but the impact it creates to your revenue can be way high. Most practices without having sufficient time to monitor and crosscheck their coding during claims submission end up in claim denials, thereby resulting in revenue loss. To overcome some of the common errors in medical billing and to reduce denials from the provider end, here are some easy tips for practices to follow.
#1: Use Automated Solutions
Most claim denials happen due to human errors which can be really troublesome. The more human errors we remove; the more claim denials we can remove. Availing EHR solutions with specialized software which can self-code accurately without showing any flaws and improving reimbursement levels. When these claims are properly processed in the first attempt, revenue growth can be highly seen.
#2: Check Patient Information
Inaccurate information, errors in insurance eligibility verification can be easily fixed which can help avoid claim denials at the first step itself. Implement a patient portal to your medical billing system that updates their information time to time because even a single error can make your payer reject your claim. Spend enough time to verify and check patient information to decrease the occurrences of denied claims. Educate your staff and keep your billing team updated on policies in order to improve data quality. Be sure about pre-authorization reports to avoid claim denials.
#3: Correct Your Mistakes from Previous Denials
Never repeat the mistakes in your medical billing and coding which you made in your previous claim denials. Enact employee improvement programs kind of things to train your staff on how to avoid such commonly and previously made errors during claims submission. This can save huge time and result in quick reimbursement of your claims.
#4: Meeting Deadline
Meeting deadlines are part of system and it is crucial that as a medical billing company, you follow the deadlines as per the policies of your insurance company. Failing to follow so may show an impact during claims filing as well. Make sure that you provide proper CPT and HCPCS codes, so you can avoid claims denials extremely well.
#5: Medical Billing and Coding Experts
If you have plans to optimize your claim management, it is definitely an excellent idea to begin with experts and highly skilled and trained medical billing and coding team. By doing so, all your medical billing and coding responsibilities are handled by the experts’ team; therefore, the chances of causing errors are extremely decreased. If you want your revenue to be improved at low risk, then claim denials should be reduced, which can be handled by the medical billing expert. These companies make sure your practice’s revenue keeps growing constantly.
Along with these best practices, be familiar with clearing house and understand the claim format properly, so you don’t have to think of making errors in your claim forms. Keep following-up with your insurance provider on denials so that you can keep track of the status and try to get it reimbursed by eliminating the errors involved. If you are a busily running practice and do not find sufficient time to follow all these steps as best practices, outsource your medical billing process to an expert company like 24/7 Medical Billing Services that has more than 15 years of experience in the healthcare industry, serving multiple clients in the due course of various specialties. If you want to talk to any of our certified medical coder/biller, give a call to +1-888-502-0537.
About 24/7 Medical Billing Services:
24/7 Medical Billing Services is the nation’s leading medical billing service provider catering services to more than 43 specialties across the entire 50 states. You can rely on us for end-to-end revenue cycle management. We guarantee up to 10-20% increase in the revenue with cost reduction of your practice for up to 50%.
Call us today at 888-502-0537 to know more on how we can help boost profitability for your practice.

Media Contact –
Hari Sudan, Media Relations,
24/7 Medical Billing Services,
16192 Coastal Hwy,
Lewes, DE – 19958
Tel: + 1 -888-502-0537
Email – [email protected]
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Contact Email [email protected]
Issued By 24/7 MBS
Phone +1 888-502-0537
Business Address 16192, Coastal Hwy, Lewes, DE – 19958, USA
Country United States
Categories Health
Tags Claim Management, , Denial Management, , Eligibility verification, , Payment posting, , Medical Billing Services, , Medical billing outsourcing, , Medical billing Services in USA, , Medical Billing in USA,
Last Updated March 17, 2021