How to Avoid Claim Denials and Increase Revenue Fast

Insurance denials are unfortunately always going to be present in any medical practice. If not handled properly they can quickly overwhelm and take over even the strongest billing team. Insurance payers are constantly adding new ways to reject claims and postpone payments. As these processes evolve, internal processes need to be in place to manage these issues quickly and efficiently to minimize revenue disruption.

Practice Management and clearinghouse software can work to our benefit, if used appropriately, to work through these everchanging and increasing rejections and denials. Other online software can also be useful in identifying and working through these issues. Being proactive is absolutely necessary to protect revenue and when consistent can significantly decrease denial rates. Categories of denials will be discussed at length, giving all attendees confidence in identifying issues.

Our speaker will cover the top 10 denials seen in 2022 and how to create and implement processes internally to prevent them in the future. Breaking down each issue to the basics allows us to work backward to find ways to eliminate the problem moving forward. Whether it's eligibility issues or coding errors-it will allow your staff to work together to build solutions. They will be ready with the tools needed to get claims paid the first time! Financial agreements, and their importance, will be covered as well. Do not miss this broadcast of very crucial information. Let our experts help you and your staff identify problems, create lasting results, and watch your revenue rise.

• Claim edits-front end rejections
• Clearinghouse rejections
• Payer rejections
• Denials- ERA, Paper EOB, Payer websites
• Industry top 10 denial reasons
• Internal processes
• Teamwork
• Patient involvement
• Financial agreements and demographics

• New insurance plans
• New denial reason codes
• Extra front-end screening for eligibility denials
• Policy and coverage changes
• Fee schedule updates

Insurance payers are rejecting and denying claims for any reason they can. Adding new edits and rules in their claim screening process has increased denial rates exponentially over the past year. Practices are finding that they are drowning in denials and don’t understand what's changed, or worse, they don’t realize there is an issue and need to act NOW! Even the most experienced billing teams are stunned by the changes and complexity of edits, rejections, and denials they are facing.

There are several ways these items can affect the claim revenue process and your staff needs to be aware of them. The administrative cost and burden have caused several small practices to cease accepting insurance or worse close their doors. DON’T LET THAT BE YOU! Allowing one more day to pass without taking a hard look at your denials, rejections, and front-end errors is a recipe for disaster. There are ways to take this information and break down the problem and prevent it in the future.

Our speaker will take a deep dive into the details of the type of claim rejections in detail, the top reasons for these denials, and most importantly how to implement internal processes to train staff, improve communication between departments and ultimately improve days in AR and naturally revenue.

• Administration
• Billing directors/managers/supervisors
• Billers
• Coders
• Front desk