Denial Management means to resolve the denials by taking corrective measures using EOB/ERA, Web portal, IVR to get reimbursement on denied claims. Studied has shown that there are some major areas of the denial production & if we focus on the elimination of their reasons, we can get rid of these denials. Below are the top 10 commonly received denials which are taken care proactively at HQ Analytics to accelerate your revenue cycle management.
➢ Major Denials Categories:
1. Patient Related Denials:
The claims which are denied due to some incorrect information of patient like name, DOB & Gender, patient ID, insured party info, COB, incorrect insurance address, submission to wrong insurance[…]