Karen Lilly Castle, Principal Consultant, Revenue Cycle Transformation, Hayes Management Consulting: Technology is becoming more and more advanced in healthcare. The additional system functionality brings new opportunities to improve revenue cycle management. To prevent denials, try using the claim denials from the payers to help with the registration alerts in your systems. This allows you to capture the correct information at the correct time — prior to releasing the claim — to prevent the denial.
For example, if a payer requires a group number and the claim is held in a claim edit by the system, a system edit could be written to alert the registration clerk to capture the group number so the claim never holds. This simple fix can save your staff time and return more revenue to your bottom-line.
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.
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