{"id":1630,"date":"2014-07-30T09:42:30","date_gmt":"2014-07-30T09:42:30","guid":{"rendered":"https:\/\/www.billingparadise.com\/blog\/?p=1630"},"modified":"2022-06-06T03:35:31","modified_gmt":"2022-06-06T08:35:31","slug":"your-specialty-is-better-off-analysing-the-reason-for-unexpected-claim-denials","status":"publish","type":"post","link":"https:\/\/www.billingparadise.com\/blog\/your-specialty-is-better-off-analysing-the-reason-for-unexpected-claim-denials\/","title":{"rendered":"Your specialty is better off analysing the reason for unexpected claim denials !"},"content":{"rendered":"<p style=\"text-align: justify;\">The position of a specialty clinic depends on the revenue which solely depends on reimbursements.\u00a0 Claim denial is the top most priority which every healthcare professional works for. The insurance company looks for each and every point whether important or not, and any miss from your side results in claims being delayed or denied. While filing claims doctors make sure they dot their I\u2019s and cross their t\u2019s, but still they see claims being held up or denied. <strong>So where did they miss ?<\/strong><\/p>\n<p style=\"text-align: justify;\"><strong>According to a survey report, 11% family medicine doctors, 10% internal medicine physicians, 9% of radiologists, 12% of physical therapist and 12% of pediatrics face unexpected claim denials.<\/strong><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #ff6600;\"><em>So what are the reasons for claim denials ? <\/em><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #ff6600;\"><em>What should be done to get an accurate reimbursement ? <\/em><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #ff6600;\"><em>What are the critical points that we miss out or don\u2019t bother to care while filing claims ?<\/em><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #ff6600;\"><em> Is there a team that can take care of the billing procedures and file the claims accordingly ? <\/em><\/span><\/p>\n<p style=\"text-align: justify;\">If you come across these questions and you have a team then you did be better off changing the way you and your staff work.<\/p>\n<p style=\"text-align: justify;\">Here is the presentation which explains on <strong>Top 5 specialties most unexpected <\/strong><b>denials<\/b><\/p>\n<p><iframe loading=\"lazy\" src=\"\/\/www.slideshare.net\/slideshow\/embed_code\/37490794\" width=\"476\" height=\"400\" frameborder=\"0\" marginwidth=\"0\" marginheight=\"0\" scrolling=\"no\"><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>The position of a specialty clinic depends on the revenue which solely depends on reimbursements.\u00a0 Claim denial is the top most priority which every healthcare professional works for. The insurance company looks for each and every point whether important or not, and any miss from your side results in claims being delayed or denied. While [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":1631,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[744],"tags":[],"class_list":["post-1630","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rcm"],"modified_by":"Erika Regulsky","_links":{"self":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts\/1630","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/comments?post=1630"}],"version-history":[{"count":0,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts\/1630\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/media\/1631"}],"wp:attachment":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/media?parent=1630"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/categories?post=1630"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/tags?post=1630"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}