HFMA Executive Roundtable: How Well Is Your Staff Positioned for Denials Management?
An adequate number of staff and training opportunities are essential for an effective denials management process.
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Medical Necessity Denials: Prevention Pays Off
Health care providers lose revenue, resources, and time due to medical necessity denials. The first step in denials management is to develop and apply methods for preventing medical necessity denials in the first place.
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Tip Sheet: Medical Claims Denial Management
This tip sheet covers the major reasons for claims denials, types and rates of claims errors, successful claims recovery strategies, and denial prevention methods.
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Improving Cash Flow with Better Charge Capture and Denial Management
This report addresses problems in coding and billing that result in omissions in items and services from the charge statement and increase claims denials. Better techniques in charge capture and denial management help to improve overall cash flow and cost containment.
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