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It’s hard to prioritize claim edits and denials

Correcting inefficiencies in your coding workflow are vital to resolving anything that is slowing down reimbursement.

The Challenge

Coders just want to code

Understandably so. Working edits and denials is probably not your coders’ most pressing priority when there are so many charges to get out the door each day. Sometimes the culprit is time, and sometimes it's simply that a coder doesn't like or isn't proficient at sleuthing and rectifying it. Procrastinating on the bucket of claim edits and coding related denials will eventually affect revenue cycle performance.

Correcting inefficiencies in your coding workflow and assigning the right coders to edits and denials is vital to resolving anything that is slowing down reimbursement.

the-challenge
the-solution

The Solution

Let’s keep edits and denials in check

This is a multi-step process that involves workflow assessment, first and foremost, to correct inefficiencies. We’ll prioritize coding related denials, researching, resolving and re-submitting under deadline — but that’s not all.

To prevent the same coding-related errors from recurring, we’ll identify the edits within the practice management system in order to kick back future claims with those known errors. And we’ll identify education opportunities to inform providers and staff of coding rules and regulations as a denial prevention tactic.