Denials

Submission of incomplete or inaccurate claims results in claim denials, delayed payments, and additional work for staff. Here's how you can minimize claim denials and ensure timely payments for your practice.

A payer contract is more than a mere fee schedule. There are several other factors to consider when deciding to keep or terminate a payer contract.

Coding expert Bill Dacey answers your latest coding questions, including an inquiry on why Medicare denied an initial visit claim.

Practices sometimes can’t afford to administer treatment to patients given the risk of denied reimbursement claims.

Payers have made it so doctors cannot go with their instincts when caring for a patient and that's a shame.

The coding rulebook is always changing. Here are strategies from our two coding experts to help you stay compliant.

A new infographic from RemitDATA reveals practices have seen improvements in processing speed, denials, and more since the end of the ICD-10 grace period.

A new infographic from RemitDATA reveals which five specialties and five procedures had the highest denial rate in 2016, as well as the five most common reasons why.

This month's coding column looks at whether or not you can count addressing routine chronic conditions without a change in plan of care as E&M.

While the ICD-10 grace period was relevant to only CMS, there is still work to be done. Here are nine steps practices can take to ensure post Oct. 1, they are ready.

The retail pharmacy chain recently replaced an established drug with a replacement. It's a move that, in one doctor's opinion, usurps physician autonomy.

Two lawyers share a way that healthcare providers can challenge insurer recoupments in the ongoing struggle with payers relating to provider reimbursement.

This MD misses the day when the decisions in care were made by her - the doctor - and the patients. Today, the insurance company has a say.

During these early days of ICD-10 payers are accepting codes that aren't quite as specific as they should be. This won't last forever.

The early returns on ICD-10 from payers and a clearinghouse have been positive. Yet, no one is ready to pop the champagne and celebrate quite yet.

What were the top five most commonly unexpected procedures that were denied in August? RemitData laid out all the answers in this infographic.

Creating a game plan for dealing with an increase in denied claims during the first few months of ICD-10 can save you money and headaches.

Patients and payers are your two main practice revenue sources. Here's how to collect more for the work you do every day.

Here are 11 tips to ensure your practice will be on track for a successful ICD-10 transition come Oct. 1, 2015 and beyond.

While recent concessions made by CMS on the ICD-10 transition may relieve stress for practices making the transition, some say it’s not enough.

Incomplete or inaccurate patient information can set the stage for a claim denial before a visit. Avoid these mistakes at the front desk.

Lack of feedback from back to front office on coding issues perpetuates a cycle of denials. Here are five tips to help get claims paid the first time.

Get insight on the most common unexpected denials at practices nationwide, with a special focus on endocrinology, from RemitDATA.

Each year, athenahealth ranks payers on how easy they are to work with providers. Here are the top 20 in the "major payer" category for 2015.

Each year, athenahealth ranks payers on how easy they are to work with providers. Here are the top 20 in the "all payers" category for 2015.

Each year, athenahealth ranks payers on how easy they are to work with providers. Here are the top 20 in the Blues category for 2015.

Each year, athenahealth ranks payers on how easy they are to work with providers. Here are the top 20 in the Medicare category for 2015.

Each year, athenahealth ranks payers on how easy they are to work with providers. Here are the top 20 in the Medicaid category for 2015.

Make sure your practice is getting paid what it is owed for the work you perform with these four tips.

Stay on top of your claims and denials with these four tips to spot problems early and maximize payer reimbursement.