Complete Guide to Reducing Claim Denials: From Eligibility Verification to Coding Accuracy
- Verify Eligibility Early: Automate real-time eligibility checks to prevent 15–20% of denials caused by coverage issues.
- Simplify Prior Authorizations: Use automation, real-time tracking, and alerts to cut delays and boost patient satisfaction.
- Ensure Coding Accuracy: Intelligent validation and expert audits prevent 50–60% of denials tied to incorrect coding.
- Strengthen Documentation: Integrate EMR data and flag incomplete notes to reduce denials from missing or mismatched information.
- Leverage Data Analytics: Identify denial patterns, predict high-risk claims, and track payer trends to stay proactive.
- Follow Payer-Specific Rules: Use customized templates and stay updated on payer guidelines to avoid preventable rejections.
- Partner with Practolytics: With 28+ specialties and 5M+ claims processed yearly, Practolytics combines tech and expertise to minimize denials and maximize revenue.
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- Verify Eligibility Early: Automate real-time eligibility checks to prevent 15–20% of denials caused by coverage issues.
- Simplify Prior Authorizations: Use automation, real-time tracking, and alerts to cut delays and boost patient satisfaction.
- Ensure Coding Accuracy: Intelligent validation and expert audits prevent 50–60% of denials tied to incorrect coding.
- Strengthen Documentation: Integrate EMR data and flag incomplete notes to reduce denials from missing or mismatched information.
- Leverage Data Analytics: Identify denial patterns, predict high-risk claims, and track payer trends to stay proactive.
- Follow Payer-Specific Rules: Use customized templates and stay updated on payer guidelines to avoid preventable rejections.
- Partner with Practolytics: With 28+ specialties and 5M+ claims processed yearly, Practolytics combines tech and expertise to minimize denials and maximize revenue.