Close the Loopholes on Outpatient Claim Denials: Proactive Measures to Recoup Lost Revenue

BY SUSAN GATEHOUSE, RHIT, CCS, CPC, AHIMA-APPROVED ICD-10/PCS TRAINER 

Unfortunately, the majority of healthcare organizations encounter claim denials on a reasonably regular basis, often, habitually. Though claim denials may be an unavoidable reality in the world of healthcare, ineffective claim denials management can result in even more lost revenue. ​

Identifying denials and the specific reasons behind the cause of each denial is the first measure in designing an efficient strategy to better claims denial management. Much of the top claims denial reasons are preventable; however, many providers continue to make the same mistakes.

In a recent article published in ICD-10 Monitor-News, Axea’s CEO, Susan Gatehouse takes a deep dive into various proactive measures for claim denial management that will recoup lost revenue by reducing the incidence of denials – Close the Loopholes on Outpatient Claim Denials .

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