tci Outpatient Facility Coding Alert - 2017 Issue 8

Quick-Start Guide To Reducing Denials In Your Outpatient Facility

Use this step-by-step system for how to spot, solve and stop revenue leaks. In June, Outpatient Coding Alert covered “7 Revenue Busters That Are Destroying Your Facility’s Profits.” Revenue Buster No. 5 was “no one in the business office is working denials.” Of course you’ll want to appeal any of the denials you can, but the biggest win is preventing denials in the first place to reduce the costs associated with reworking claims. If you are an HOPD, consider this eye-opening statistic: it costs hospitals an average of $118 per claim to appeal...

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