7 Strategies to Prevent Claims Denials

Becker’s Hospital Review Slide from their webinar entitled THE DENIALS CHALLENGE

We operate in an already complicated reimbursements environment, so anything we can do to minimize the constant threat of denials is going to help the entire revenue cycle.

Becker’s Hospital Review produced a helpful webinar discussing strategies to prevent claims denials that can be accessed here. In an article summing up the presentation, Becker’s distills their approach to 7 strategies:

  1. Root cause determination.
  2. Prioritization. 
  3. Eligibility.
  4. Registration data quality.
  5. Prior authorization and medical necessity. 
  6. Effective claims processing.
  7. Ongoing analysis across the revenue cycle. 

You’ll want to visit the article link, as they provide excellent analysis of each factor. Needless to say, OrboAccess tools that provide full research access to transactional data are in lock-step with their recommendations!

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