Actionable Tips for Reducing Claim Rejections: #KareoChat Recap

Medical billing is a critical factor in determining whether a practice is financially successful. Claim rejections have a huge impact on cash flow. Working to develop denial management processes, allows for the opportunity to submit “clean” claims make the process smoother for all involved.

In a recent #KareoChat (first and third Thursdays at 9 a.m. Pacific/ 12 p.m. Eastern), participants joined host Manny Oliverez (@Capture_Billing),CEO of Capture Billing, a medical billing company that works with dozens of physician’s practices. They provide medical billing services and practice management advice for several specialties. (See Manny's blog post and slideshare presentation on the same topic: 9 Actionable Tips for Reducing Claim Rejections.)

In this chat, participants discussed actionable takeaways to help billers reduce claim rejections, and keep practice cash flow steady.

Let’s dive into the discussion:

Topic 1: What is the Difference Between a Rejected Claim and a Denied Claim?

It is important to know the difference between a rejected and denied claim when handling billing for a practice. Manny dove right in to answer the first question.

Topic 2: What Causes a Claim to be Rejected?

A medical bill makes several stops before being submitted. Errors can occur anywhere along the way. Here are just a few reasons a claim may be rejected.

Topic 3: How Can you Reduce Claim Rejections?

As with all processes, constant improvement is imperative. Fortunately, practice team members and patients can take steps to help reduce claim rejections.

Here is a way patients can help.

These are ways good electronic claims submission software assist the process.

Topic 4: Why Do Some Practices Have Claim Rejection Problems?

Next, the chatters discussed reasons practices may face challenges with claim rejections.

Topic 5: What Features Should You Require in Billing Software that can Help Reduce Rejected Claims?

Armed with this information, chatters discussed billing software features that can help reduce rejected claims and help the billing process run smoother.

This was a great discussion with so many actionable takeaways for those working to make their practice billing a smooth process.

And as always, join us every first and third Thursday at 9 a.m. Pacific time @GoKareo #KareoChat to talk about critical topics facing independent practices and the patients they serve.

About the Author

Janet is co-founder at Healthcare Marketing Network. She is an External Advisory Board Member of the Mayo Clinic Social Media Network and podcast host @...

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