tci Medicare Compliance & Reimbursement - 2013 Issue 8

Divide and Conquer Carriers to Solve Your Denial Woes

3 expert tips help you eliminate the root causes of your rejections. Denial management is a mammoth task, but billing education and carrier networking can help you take down the beast. Once you’ve compiled your most-common denials list (as explained earlier) and identified the underlying causes, it’s time to take action. Try these three denial-busting tips: 1. Assign denials to your billers based on carrier. Think of this as the “divide and conquer” approach, which allows each of your billers or billing teams to specialize in dealing with certain carriers. You might have one staff member...

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