SlideShare a Scribd company logo
There is no denying that claim denials can prove to be a
major headache for medical practices. Denials not only have
a negative impact on the cash flow but also affect practice
efficiency. Wondering what is causing denials at your
practice?
http://www.247medicalbillingservices.com
Here are 7 common causes that you should be aware of:
• Administrative mishaps are one of the most common
reasons why denials happen.
• Then inaccuracies in coding. If the coders aren’t trained
to use ICD-10 codes, then denials can’t be avoided.
• Another common reason for denial is missing or
incorrect patient information.
• If the documentation isn’t supporting the medical
necessity, the payer will be unsure of the procedure and
deny the claim.
http://www.247medicalbillingservices.com
Here are 7 common causes that you should be aware of:
• Timely claim submission is equally important if you want
to avoid denials. Even if there are no errors in the claim
but it is submitted late, it will result in denials.
• It is necessary to ensure that the patient’s coverage
hasn’t been terminated. Verification of insurance benefits
needs to be done prior to services being rendered to the
patients.
• If there is no co-ordination of benefits, then it will be a
problem. Your staff needs to be aware of the guidelines
for billing each health insurance plan.
http://www.247medicalbillingservices.com
About 247 Medical Billing Services:
We are a medical billing company that offers ‘24/7 Medical Billing
Services’ and support physicians, hospitals, medical institutions
and group practices with our end to end medical billing solutions.
We help you earn more revenue with our quick and affordable
services. Our customized Revenue Cycle Management (RCM)
solutions allow physicians to attract additional revenue and reduce
administrative burden or losses.
Contact:
247 Medical Billing Services
Tel: +1 888-502-0537
Email: info@247medicalbillingservices.com
http://www.247medicalbillingservices.com

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7 common causes of denials and how to prevent them

  • 1. There is no denying that claim denials can prove to be a major headache for medical practices. Denials not only have a negative impact on the cash flow but also affect practice efficiency. Wondering what is causing denials at your practice? http://www.247medicalbillingservices.com
  • 2. Here are 7 common causes that you should be aware of: • Administrative mishaps are one of the most common reasons why denials happen. • Then inaccuracies in coding. If the coders aren’t trained to use ICD-10 codes, then denials can’t be avoided. • Another common reason for denial is missing or incorrect patient information. • If the documentation isn’t supporting the medical necessity, the payer will be unsure of the procedure and deny the claim. http://www.247medicalbillingservices.com
  • 3. Here are 7 common causes that you should be aware of: • Timely claim submission is equally important if you want to avoid denials. Even if there are no errors in the claim but it is submitted late, it will result in denials. • It is necessary to ensure that the patient’s coverage hasn’t been terminated. Verification of insurance benefits needs to be done prior to services being rendered to the patients. • If there is no co-ordination of benefits, then it will be a problem. Your staff needs to be aware of the guidelines for billing each health insurance plan. http://www.247medicalbillingservices.com
  • 4. About 247 Medical Billing Services: We are a medical billing company that offers ‘24/7 Medical Billing Services’ and support physicians, hospitals, medical institutions and group practices with our end to end medical billing solutions. We help you earn more revenue with our quick and affordable services. Our customized Revenue Cycle Management (RCM) solutions allow physicians to attract additional revenue and reduce administrative burden or losses. Contact: 247 Medical Billing Services Tel: +1 888-502-0537 Email: info@247medicalbillingservices.com http://www.247medicalbillingservices.com