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Ronnie Guha

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Average medical denials rate

5% to 10%. More importantly – how much are you losing per month due to denials?

Categorized as OperationsTagged medical billing

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.

Categorized as OperationsTagged medical billing

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.

Categorized as OperationsTagged medical billing

Handling prior authorization related denials

If you find out that a procedure requires prior authorization by the patient’s plan, immediately move the appointment to an “appointments at risk” bucket.

Categorized as OperationsTagged medical billing

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