Minimizing Hard Denials & Non-payments

Healthcare organizations have little recourse to challenge or appeal hard denials which typically result in a complete loss of reimbursement for the services that were provided to a patient. Hard denials can be avoided.

Attend this session to identify the causes of hard denials. Enhance your knowledge of processes to prevent hard denials such as insurance verification, eligibility, prior authorizations, and referral capture. Gain skills and be proactive in implementing solutions for avoiding nonpayment in billing situations where the patient would be held harmless. Ensure that your billing team is fully trained and equipped to eliminate "avoidable" denials for non-covered services, duplicate claims, and claims submitted after the allowed time frame.

• Adopt a denials prevention mindset

• Prioritize improving patient data quality

• Stay current on payer guidelines and filing deadlines

• Leverage analytics and technology