If you would like to share your RCM best practices, please email Carrie Pallardy at cpallardy@beckershealthcare.com to be featured in the “RCM tip of the day” series.
Jim Yarsinsky, CRCE-1, President, Founder, Expeditive: Identify trends in claim denials. Reducing claim denials is near impossible if you don’t know the root cause. Sometimes, a procedure that has worked in the past starts resulting in denials. Have you kept up with changing Medicare requirements? Are frontline staff entering patient information incorrectly or failing to update it when necessary? Were diagnostics and procedures coded incorrectly? Conduct an audit of your recent claim denials and see what the trends are. Once you’ve identified the problems, you can begin working to fix your revenue cycle, starting with the most common source of denials.
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