Medical practices can decrease denials and accelerate payments, by setting up work processes that use advance functions in their software systems to identify, quantify and categorize denials. The purpose is to identify patterns related to coding, enrollment, prior authorization and specific payer performance.
This presentation will focus on using these systems related specifically to ICD-10, but the underlying strategy to understand the causes of denials, and reduce or prevent them in the future is applicable for all denial reasons.
Participants will learn how to:
- Assess your practice’s current denial process for effectiveness.
- Identify revenue types and diagnosis code ranges,that are at highest risk of denial.
- Develop one strategy to prevent diagnosis related denials.