The position of a specialty clinic depends on the revenue which solely depends on reimbursements. 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’s and cross their t’s, but still they see claims being held up or denied. So where did they miss ?
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.
So what are the reasons for claim denials ?
What should be done to get an accurate reimbursement ?
What are the critical points that we miss out or don’t bother to care while filing claims ?
Is there a team that can take care of the billing procedures and file the claims accordingly ?
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.
Here is the presentation which explains on Top 5 specialties most unexpected denials
