The front desk person is checking a patient that just walked in. She is busy asking the patients for their demographics and insurance details to…
Category: Operations
A few healthcare operations tips for you, based on my experiences from the field
Average medical denials rate
5% to 10%. More importantly – how much are you losing per month due to denials?
Handling denials due to eligibility
When you find out that there are eligibility related issues, put these patient appointments in an “appointments at risk” bucket.
Handle denials due to coverage issues
Simply having coverage on the date of service is not enough. Your eligibility team needs to find out whether the service is covered by the patient’s benefits as well.