RCM tip of the day: Understand why reimbursement isn't coming

To ensure timely and proper payment for services, hospitals and health systems must identify the cause of insurance claim denials, said Tom Romeo, general manager of healthcare IT and Quanum Solutions at Quest Diagnostics.

"Identify the source of denials through reports and discussions with staff, and then prioritize fixing the problem," he told Becker's Hospital Review. "Train staff about these issues and review top denials regularly in meetings with physicians. It's critical to recognize the contribution of every employee in the denial-management process."

If you would like to share your RCM best practices, please email Kelly Gooch at kgooch@beckershealthcare.com to be featured in the "RCM tip of the day" series.   


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