tci Part B Insider - 2007 Issue 4

REIMBURSEMENT: Benchmark Your Denials--Or Find Yourself Benched

Check by payor, site, procedure code and other factorsWatch out: Are you keeping track of your denials? If not, you might be missing a pattern that could be draining your practice's reimbursement. There are two important reasons to track your denials, says Barbara Cobuzzi, president of CRN Healthcare Solutions in Tinton Falls, NJ: 1. Admin red flags: You may be missing a major problem in your practice. For example, you could be regularly forgetting to put the provider numbers of referring physicians on claims. Or you may be missing a crucial modifier on a regular basis. If you can...

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