DecisionHealth, DecisionHealth - 2013 Issue 8 (August)

Assess real damage from claims denials by looking at dollar loss value

When you think about how to address a denials problem at your physician practice, one of the easiest ways to start is to look at the codes that have the highest denial rates as a percentage of overall claims filings. As good of a marker as that is for plugging financial leaks, it opens you up to a different type of risk — services with a relatively small rate of denial but high utilization will slip through the cracks, opening your practice up to persistent financial drips that wreak havoc with your bottom line.

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