How To Avoid And Manage The Medical Claim Denials?

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How To Avoid And Manage The Medical Claim Denials?

• www.ecareindia.com

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• Medical billing is one of the major factors to
  decide the financial success rate of the
  practice, and claim denials affect the cash flow
  of the practice.
• Every new claim denials lead to revenue leaks.
  Thats why denials look like a painful financial
  drain on practices.
• For better claims denial management, you have to
  identify the denials and reasons of the denials.
• Avoiding and reducing the claims denials will
  improve the cash flow.
• Lets discuss the claims denial management and
  strategies to avoid and manage the claim denials.

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• The Most Common Reason For Claim Denials

• Incorrect Patient Information
• Claim Duplication 
• Improper Eligibility Verification
• Incorrect Coding  
• Incorrect Modifiers Used
• Lack of documentation or medical necessity

To Avoid and Manage the Medical Claim Denials
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Collect Detailed Patient Information

• Listed below are few mandatory patient
  demographic details to be collected.
• Patient name 
• Patients date of birth 
• Address
• Phone number
• Email Id etc
• Also, collect the insurance plan information to
  collect the reimbursement.
• Subscriber name
• Name of the plan
• Group Name
• Insurance coverage effective dates
• Secondary or supplemental coverage details

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Proper Documentation

• For accurate billing, documentation plays a major
  role.
• It helps to prevent some complications during the
  coding audits.
• Poor documentation leads to underpayments and
  denials.
• To get accurate payments, the proper document
  needs to submit along with claims.

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Outsource Your Medical Billing
Outsourcing is the best choice for denial
management. Medical billing experts submit
error-free claims. If any claims denial,
the denial management team analyzes the denial
reasons. To identify the denial reasons billing
experts follow up with payers. Depending on the
denial reasons, billing professionals resubmit
the corrected claims with required documents
without any delay. Outsourcing also provides
more benefits for your business such as

• Improves cash flow
• Reduce denial rates
• Minimize medical billing and coding errors
• Processes medical claims faster
• Improves billing collection rates
• Saves operational cost
• Improves your business rating etc.

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About e-care

• e-care India is the leading medical billing
  service provider in India.
• We specialize in denial management.
• We also provide medical billing and coding
  service, Account receivable management,
  cardiology billing, radiology billing, FQHC
  billing, Anesthesia billing. Revenue cycle
  management, etc.
• We use the latest technologies to improve your
  business revenue, reduce denials rate.
• To know more about our medical billing and coding
  services, log on to our website www.ecareindia.co
  m

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Thanks you

• Mail Us info_at_ecareindia.com
• Call Us 1 813-666-0028
• Visit Us www.ecareindia.com