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Denials Resolution

Most insurance carriers are required to pay the claim or provide a denial in writing within 30 days of receipt. A claim that has not processed within 30 days is subject to interest penalties, however, being paid interest is not in your goal. Your goal is to get payment as quickly as possible. Taking a proactive approach to handling denials can improve AR days substantially.

Top 10 Reasons Claims Get Denied
Hoping to avoid the topic won't make the problem go away. Of course, no one wants to discuss claim denials but the only way to prevent them is to be aware of what they are. Understanding the reasons why medical claims deny can help limit the number of denials your office receives.

Appealing Denied Medical Claims
If you haven't considered appealing your denied claims or are having trouble getting them paid, here is some important information that you can use to assist you in developing a new process.

Using Chart Audits to Reduce Billing Errors
Assuming that your medical claims are being billed error free is the surest way to getting denials and delayed payments. Incorporating a chart audit process in your day to day operations could be the difference between being paid as early as 10 to 14 days instead of 45 days.

Top 10 Reasons Claims Get Denied
Understanding the reasons why medical claims deny can help limit the number of denials your office receives.

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