Enhance Your Practice’s Revenue with Better Denial Management

August 5, 2022

A practice needs to continue to evolve by focusing on finance and delivering quality care. With inflation all around the world, the cost of delivering healthcare services is increasing and the higher percentage of claim denials is one of the main hurdles in achieving financial goals. Efficient and enhanced denial management is the need of the hour as it helps in mitigating the percentage. To achieve zero percent claim denial seems to be an inevitable task at the moment but reducing the percentage is definitely on the cards.

Tips to Improve Denial Management

To improve denial management, it needs to be a daily routine task. Ignoring denied claims won’t help because unless you are focusing on clearing the previous claims, it will be very difficult to fetch targeted financial results by just spending all the efforts on the processing of new claims. Below are some of the top tips for efficient denial management:

· Tracking and Reporting of Claims

To meet the business goals, practices need to have a systemized and strategic reporting method. From start to end, this method helps in tracking step by step status of every claim, resulting in enhanced revenue collection. Reaching out to a billing expert to get an efficient medical claims tracking system is the right strategy as it will help you a lot in curbing claim denials.

· Priority Comes First

Prioritizing claim denials processing is mandatory as most providers tend to process new claims. As a result, denied claims not only pile up but also leads to revenue loss. To fix this issue, a streamlined approach is required that will help in processing the denied claims immediately. This strategy is the backbone to getting the due reimbursement without much hassle.

· Need for an Experienced Denial Management Team

It requires an experienced team of denial management to process denied claims effectively. Experts need to analyze the reasons for these claims and fix them so that the payment can be received. It is a delicate task and requires professional knowledge and expertise to handle denials with various payers so, make sure to have one so that it will help in achieving business goals.

· Top Quality Billing and Coding

To eliminate re-appeal, practices need to have a quality medical billing and coding team to ensure that the denials are under control. They need to go for certified experts who know how to file a clean claim to produce higher cash flow.

· Regular Audits are Necessary

Regular audits help in minimizing claim denials. The audit is a significant part as it assists in determining the main reason behind claim denials so that you can overcome and generate high reimbursement.

· Aftermaths of Claim Denials

A higher percentage of claim denials not only results in the loss of a significant amount of reimbursement but also wastes a lot of time because you will have to rework the denials. Apart from reworking, additional costs to follow up and analyze the problem will also be a requirement. To avoid all this hassle, the right strategy is to have an efficient medical billing system that will help in reducing the denial percentage.

· Outsourcing is also a Solution

Outsourcing denial management is an exceptional solution because finding a diverse team of professionals is not an easy task. Therefore, in order to have better denial management, getting in touch with a reputed revenue cycle management (RCM) company will benefit your practice in terms of knowledge, expertise, and streamlined approach.

Key Takeaways

Denial management is the key if you want to achieve the practice’s revenue goals. For this purpose, there are some of the core factors such as tracking and reporting, prioritizing denials processing, and focusing on quality billing and coding can help in reducing denial claims. Moreover, getting in touch with a professional company will help your practice to boost revenue and meet business goals.