Implementing an Effective Denials Management Program

W w w . e i d e b a i l l y . c o mRochelle Dahmen, Revenue Cycle an Effective Denials Management Programw w w . e i d e b a i l l y . c o mAgenda Introduction Denials -An Overview Defining Denials Understanding Your Denials Managing Your Denials Conclusion QuestionsDenials An Overvieww w w . e i d e b a i l l y . c o mDenials An Overview According to the American Medical Association (AMA), 25 30 percent of the country s total health care expenditures are direct transaction costs and inefficiencies associated with the claims Management revenue cycle.

•Top Claims Adjustment Reason Codes : ... •Includes delay of payment where additional documentation is needed •Coding clarification ... •Calculate a risk priority number (RPN) ...

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  Coding, Risks, Documentation, Adjustment

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