4 Steps to Improve Medical Billing Denial Management

Effective management of medical billing denial is one of the biggest loopholes that need to be plugged by Revenue Cycle Professionals. This helps Physicians to earn better revenues, and also helps to keep denial statistics on the healthier side. It is all the more important when considered in the context of the services already rendered by the Physician to the patient. Medical Billing Team grappling with denied bills can use the following four steps to develop a better billing denial management program.

Timely completion of claim denials

Processes need to be put in place to kick-start a method of following up with Insurance payers the moment a claim has been denied. This should ideally be a streamlined process that will initiate automatically and work within a time frame, with the allotment of adequate resources. The billing system should perfectly incorporate a tracking mechanism to provide early warning inputs to the team tasked for claim denials follow-up.

Drill through statistics to identify common reasons for denial

It may be entirely possible that a large number of denials are occurring due to a single or common type of error, such as erroneous filling of forms. Types and reasons for denial may be many, but identifying the most common reasons will help to devise a strategy to tackle and keep denials low. Finding the top 20% denials reasons will help to address 80% of the denials, according to Pareto Principle.

Track the progress of billing denial management

It is important to track the progress of billing denial management. What needs to be understood is that the chances of losing track of claims increases with aging claims. Therefore, it is important to move the process at a steady speed, and monitor the progress closely. This will not only help to get a positive result but also assist to put in place a process tracking that can be used for subsequent billing denial management.

Outsourcing to a reputed organization

The easiest way to stay ahead of denied claims is to outsource billing services to a reputed organization. This will help to keep the number of denied claims low, in addition to ensuring that such denied claims are successfully reworked, resulting in positive results and collection.

E-care India is one of the pioneering offshore medical billing companies based in India that promises to avoid the risks involved with missed Charges.