Ways to Minimize Reimbursement Denials from Insurance Companies
The process of managing reimbursement is complex, but practices that hire an adequate number of billing staff, train staff effectively, provide conscientious billing practices, file in a timely manner, and have a closed-loop system in place for reviewing denials and implementing fixes are poised to ensure that claims are accurate, and denials are minimized.
In the article, Top 9 Reasons Why Insurance Companies are Denying Reimbursements, Anne A. Stefurak, Global Director of Health Economics and Reimbursement at Avanos provides insight into various reasons insurance companies are denying reimbursements, and ways which may avoid these issues including:
- Ensuring proper training and communication for clinical support staff
- Creating a claims review task force
- Staying up-to-date on CPT code (Current Procedural Terminology) changes
- Establishing documentation guidelines and multi-factorial practices