denials

Routine denials are a point of frustration for many practices, especially when they appear to happen automatically. In most cases, providers recommend services, procedures, medications, and medical equipment because they feel it is in the patient’s best interest. Taking proactive measures to prevent what you can will help to increase efficiency and help you take back control of your revenue cycle.

With rising inflation, staffing shortages, and a litany of regulatory burdens, many of us are seeking support from financial institutions to obtain business loans, lines of credit, support with capital asset purchases, etc.

This post-pandemic era of healthcare has significantly exacerbated hiring challenges in an industry already plagued with staffing shortages.

Dealing with denied claims is a constant task in revenue cycle management. RevCycle Intelligence reported that there was a 20% increase in claim denial rates in the last 5 years1. Change Healthcare reports that the rates increased 23% between 2016 and 2020. Certainly,...