Tag Archives: claims denials

Tips for an Effective Claims Denial Management Audit

Tips for an Effective Claims Denial Management Audit

According to the American Medical Association (AMA), 25 to 30 percent of the country’s total health care costs are direct transaction costs and inefficiencies associated with the “claims management revenue cycle”. Increasing proficiency and improving collection should be top priorities for health care providers with mainly focused on improving prior authorizations and eligibility before an […]

Fundamentals to avoid Claims Denials

Fundamentals to avoid Claims Denials

For any practice, reducing the claims denials can put them on the path to increase in reimbursement. Your staff or outsourced billing company often sees the word “claim denied”, which leads to increased work and less revenue for your practice over a time. American Medical Association study found that many medical practices spend thousands of […]

How to Negotiate claims reimbursement contracts with payers?

How to Negotiate claims reimbursement contracts with payers?

Money is an important aspect of the healthcare revenue cycle due to the rising declining rate of Medicare reimbursement and new value-based care models. Healthcare organizations should focus on negotiating claims reimbursement contracts with payers to optimize revenue cycle management. Several key factors such as communication with stakeholders compare expected and actual revenue yields, evaluate […]

Common claims denials and its solutions for your optometry practice

Common claims denials and its solutions for your optometry practice

If your in-house billing team isn’t fulfilling the duties related to claims management or re unable to suffice the billing management you can’t rely on them. However, today with options to outsource and partnering billing agencies, the income cycle of your practice can steadily move and grow. Due to inefficiency and lack of knowledge towards […]