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Smart Reasoning:

C&E

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Qaagi - Book of Why

Causes

Effects

The claim amount ... incorrectcausingclaim denial

issuescausingclaim denial

the 10 most common medical coding and billing mistakescauseclaim denials

a common medical coding mistakeleadsto claim denials

Any kind of errors in medical coding ( under - coding and over - codingmay leadto claim denials

capital captive card cargo carrier cash casualtycausedclaim claims

coding errorscan leadto claim denials

Many eligibility issuesleadto claim denials

A common set of issuescontributeto claim denials

Lack of data that occur due to failure in diagnosis that delays payments and result incausesclaim denials

Many eligibility problemsleadto claim denials

simple administrative mistakes(passive) are caused byclaim denials

errorscauseclaim denials

errorsleadto claim denials

these errorsleadto claim denials

registration errorscauseclaim denials

these common situationsleadto claim denials

inaccurate dataleadsto claim denials

Failure to check eligibilitycould leadto claim denials

No one ... activityledto claim denials

billing practices and the trending factorscontributeto claim denials

problemsare causingclaim denials

Failing to complete formscan leadto claim denials

Many eligibility concernsleadto claim denials

reportsleadto claim denials

common misstepscauseclaim denials

how to avoid common misstepscauseclaim denials

often(passive) are ... caused Claim denials

often(passive) are ... causedClaim denials

revenue cyclecould be contributingto claim denials

common mistakes and pitfallscan leadto claim denials

If any duplicate claims and services are entered on the record of the patientsleadsto claim denials

primary diagnosis codecould leadto claim denials

the more common mistakescauseclaim denials

the most common mistakescausingClaim Denials

common mistakesleadto claim denials

our policyholders about these circumstancesmay leadto claim denials

our policyholders ... these circumstancesmay leadto claim denials

the major reasonscausingthe claim denials

modifiersleadto claim denials

severe delays and exacerbate damages for insurance customerscausesevere delays and exacerbate damages for insurance customers

severe delays andcausesevere delays and

severe delayscausesevere delays

to more revenueleadsto more revenue

real harm to peoplecan causereal harm to people

from an estimation missing from the recertification statementresultfrom an estimation missing from the recertification statement

in many months to years of delay with uncertain resultscan resultin many months to years of delay with uncertain results

in many monthscan resultin many months

when a claim is denied due to a failure to obtain PA for services where PA is requiredmay resultwhen a claim is denied due to a failure to obtain PA for services where PA is required

to significant cash flow loss for any medical organizationcan leadto significant cash flow loss for any medical organization

from failure to submit documentation during the claim adjudication processresultingfrom failure to submit documentation during the claim adjudication process

Many eligibility problems that result in(passive) are causedMany eligibility problems that result in

from documentation failureresultingfrom documentation failure

Many eligibility issues that result in(passive) are causedMany eligibility issues that result in

in a write - offresultedin a write - off

from their servicesresultingfrom their services

from an estimation missing from the recertification statementresultfrom an estimation missing from the recertification statement

from coding errorsusually resultfrom coding errors

in some reversals of our decisionshave resultedin some reversals of our decisions

in a huge decrease in your overall profit margincan resultin a huge decrease in your overall profit margin

from Anthem 's policyresultingfrom Anthem 's policy

from bodily injury or property damage to others due to an accident on your property or as a result of your personal activitiesresultsfrom bodily injury or property damage to others due to an accident on your property or as a result of your personal activities

the occupation of nine years of the Medford Multicare Center for ssetthe occupation of nine years of the Medford Multicare Center for s

pancreatic injury and cancer ... file lawsuits for a settlement or receive compensation for injurycausedpancreatic injury and cancer ... file lawsuits for a settlement or receive compensation for injury

from or in connection to this agreement or its subject matter or formation - including non - contractual claims and disputesresultingfrom or in connection to this agreement or its subject matter or formation - including non - contractual claims and disputes

out the material facts of the claim madesettingout the material facts of the claim made

in a damage award that is measured by the amount a claimant would have receivedresultsin a damage award that is measured by the amount a claimant would have received

from the underlying transaction which they may have in law to recovery or restitution in respect of a transfer order which has entered a systemresultingfrom the underlying transaction which they may have in law to recovery or restitution in respect of a transfer order which has entered a system

in a payment less than the original death benefitresultingin a payment less than the original death benefit

from unreasonable use , maintenance , or care of the vehicleresultingfrom unreasonable use , maintenance , or care of the vehicle

in very favorable settlement of claim at appealresultingin very favorable settlement of claim at appeal

to it by your own actions instances which will cause the Injuries Board Ireland to decline your application for swimming injury compensationcontributedto it by your own actions instances which will cause the Injuries Board Ireland to decline your application for swimming injury compensation

in a decision that was contrary to ... or involved an unreasonable application of , clearly established Federal law , as determined by the Supreme Court of the United States " ; or ( 2 ) " resulted in a decision that was based on an unreasonable determination of the facts in light of the evidence presented in the State court proceedingresultedin a decision that was contrary to ... or involved an unreasonable application of , clearly established Federal law , as determined by the Supreme Court of the United States " ; or ( 2 ) " resulted in a decision that was based on an unreasonable determination of the facts in light of the evidence presented in the State court proceeding

in very favorable settlement of claimresultingin very favorable settlement of claim

autism or even link to the CEASE websitecauseautism or even link to the CEASE website

in loss of no claims and insuranceresultedin loss of no claims and insurance

forth details of the accidentsettingforth details of the accident

the accident Get custom auto insurance rates by state and no one has to longercausedthe accident Get custom auto insurance rates by state and no one has to longer

forth the particulars of the claimsettingforth the particulars of the claim

in settlement of the claim for less than 10 % of the alleged damagesresultedin settlement of the claim for less than 10 % of the alleged damages

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Smart Reasoning:

C&E

See more*