How to Prevent Coding Denials and Increase Revenue

1. How to Prevent Coding Denials and Increase Revenue Revenue How to Prevent Coding Denials and Increase UNDERSTANDING CODING DENIALS Incorrect Coding: Using outdated or incorrect codes can rejections. lead to claim Lack of Medical Necessity: Claims may be denied if services medically necessary. aren't deemed Insufficient Documentation: Incomplete records fail to support billed services. Eligibility Issues: Providing services to patients with inactive or non-covering insurance plans. Authorization Requirements: Missing prior approvals for certain procedures. Duplicate Claims: Submitting the same claim multiple times due to administrative errors. Billing Errors: Simple mistakes like typos or incorrect patient information. STRATEGIES TO PREVENT DENIALS & BOOST REVENUE Ensure Accurate Coding: Regularly update and verify coding practices to reflect current standards. Verify Insurance Eligibility: Confirm patient coverage before services are rendered. Obtain Necessary Authorizations: Secure required pre-approvals to avoid denials. Maintain Comprehensive Documentation: Ensure all services are well-documented to support claims. Implement periodic reviews to identify and rectify potential issues. Regular Audits: Conduct Train Staff Continuously: Educate team members on best practices and updates in coding and billing. Utilize Leverage technology to automate and streamline the billing process. Advanced Billing Software: www.harriscaretracker.com | sales@harriscaretracker.com | (855) 528-4357