The Ultimate Playbook for Mastering Claims Denials and Winning Appeals
How denials are contributing to the ongoing healthcare crisis
Years after the COVID-19 pandemic struck, the healthcare industry is still grappling with spiraling costs and declining revenue streams, further complicated by the increased difficulty in generating and keeping the hard-earned revenue organizations need to serve their communities. Claims are being processed slower, healthcare providers are waiting longer for payments, and denial rates have spiraled out of control.
This comprehensive guide examines the complexities of appeals and denials and offers critical strategies for navigating toward a more financially stable future for healthcare organizations everywhere—ultimately benefiting both providers and patients.
The guide dives into:
- The Danger of Silos in Claims Denials
- The Lifecycle of an Inpatient Claim
- Denial Strategies Using the Four Pillars of Success - People, Process, Technology, and Education
- Common Types of Denials and Untimely Appeals
- Solutions by Function Including Case Management, HIM, and CDI
- Denials Prevention Audits
Access the full guide to learn how you can reclaim the revenue you have earned.
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