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Smart Reasoning:

C&E

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Qaagi - Book of Why

Causes

Effects

the best waysto preventclaim denials

claims ... any stageto preventclaim denials

registration errorscauseclaim denials

any medical errorscan causeclaim denials

errors or omissionstriggerclaim denials

Common errorscan causeclaim denials

Taking the following steps can helppreventclaims denials

features to helppreventclaim denials

the outcomes ... helppreventclaim denials

Skilled coding and billing specialists helpto preventclaim denials

missing coding errorscan causeclaim denials

the common billing errorscauseclaim denials

three things that can help healthcare providerspreventclaims denials

Bean M. 7 strategiesto preventclaims denials

the claims processing system ... timeto preventclaims denials

your medical coding process ... myths or errorscan ... causeclaim denials

at least three sources of errorscauseclaim denials

registration data entry errorscauseclaim denials

the manual errors ... outright mistakescauseclaim denials

Even small errors can end upcausingclaims denials

A simple wayto preventclaims denials

the ideal wayto preventclaims denials

Another wayto preventclaim denials

how to avoid common misstepscauseclaim denials

a prior authorization from TriWest Healthcare Allianceto preventclaims denials

4 Common MistakesCauseClaim Denials

claims There was a delay in adding some of the new 2014 codes to our system editing softwaremay have createdclaim denials

Focusing on these 3 things can helppreventclaims denials

The key to managing claims denial rates isto preventclaims denials

only part of the processto preventclaim denials

Even small documentation errors can end upcausingclaims denials

One of the most common reasons forresultclaim denials

The best way to keep your income stream flowing properly isto preventclaim denials

claims out the door in the revenue cycle ... especially difficultto preventclaim denials

the billing company ... more serious measuresto preventclaim denials

Accurate , Actionable Information with a Single Click Missing or inaccurate patient informationcausesclaim denials

The best , simplest wayto preventclaim denials

This also helpsto preventclaim denials

Understanding the changes that occurred on January 1 can helppreventclaim denials

the key problemscauseclaim denials

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

a cash flow problem for practices due to which it becomes essential for providers to minimize delays and denialscreatea cash flow problem for practices due to which it becomes essential for providers to minimize delays and denials

your practice to lose revenue , specially if you do n't appeal them properlycan causeyour practice to lose revenue , specially if you do n't appeal them properly

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

a serious cash flow problem for practicescreatea serious cash flow problem for practices

Denied claimscan leadDenied claims

from claims that were received and processed by the insurance company but then denied for one reason or anotherresultfrom claims that were received and processed by the insurance company but then denied for one reason or another

from outright denial of an entire claimresultfrom outright denial of an entire claim

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

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 really serious delays and worsen damages for insurance clientsleadto really serious delays and worsen damages for insurance clients

or delay the collection of benefitscan preventor delay the collection of benefits

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

to timely reimbursements in your practiceleadingto timely reimbursements in your practice

sending patient statements which are routinely ignored and or discardedto preventsending patient statements which are routinely ignored and or discarded

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

them from receiving adequate carepreventthem from receiving adequate care

a delay in reimbursement if not providedcan causea delay in reimbursement if not provided

if transfers are not done correctlywill resultif transfers are not done correctly

a backlash against the insurance industryhave recently sparkeda backlash against the insurance industry

in lawsuits against insurance companiesmay resultin lawsuits against insurance companies

in delayed or reduced payments for the providerresultin delayed or reduced payments for the provider

delays in paymentcausedelays in payment

in a homeownerresultingin a homeowner

delays in reimbursementsmight causedelays in reimbursements

access to carecan preventaccess to care

from a registration error , lack of medical necessityare ... causedfrom a registration error , lack of medical necessity

in a 3 percent loss of net revenue ... on averageresultin a 3 percent loss of net revenue ... on average

in thousands of dollars in lost profitscan resultin thousands of dollars in lost profits

from billing errors and lack of follow - upsresultingfrom billing errors and lack of follow - ups

from documentation failureresultingfrom documentation failure

to be filed with the courtcausedto be filed with the court

from a missed deadlinemay also resultfrom a missed deadline

to : Administrative costs associated with appeals , record requests , etcleadto : Administrative costs associated with appeals , record requests , etc

from the lack of valid practitioner signaturesresultingfrom the lack of valid practitioner signatures

payments to be delayed for 6 - 8 weeks or morecan causepayments to be delayed for 6 - 8 weeks or more

from errors in demographic or other identifying informationresultingfrom errors in demographic or other identifying information

payments to be delayed for six to eight weeks or morecan causepayments to be delayed for six to eight weeks or more

administrative burden(passive) caused byadministrative burden

from the application of the HEW permanent regulationsresultingfrom the application of the HEW permanent regulations

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Smart Reasoning:

C&E

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