Healthcare IT News: Claims Management

Navigating Medical Billing and Claim Denials: Understanding the Complexities and Solutions

Picture Credit Medical billing and claim denials are common and often frustrating aspects of healthcare in the United States. Navigating the complexities of billing systems, insurance plans, and denials can be daunting for patients and providers. This article aims to provide an in-depth understanding of the medical billing process, the reasons for claim denials, and

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Reduce Claim Denials through Process Automation

Health systems of all sizes continue to face expensive claim denial issues, and the rate of claim denials has steadily risen since 2016. The pandemic only worsened the trend; by the third quarter of 2020, the initial claim denial rate had reached 11%. This indicates that more than one in every ten claims is rejected.

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