Denials and Claim Scrubbers

Are your denials going up?

You are not alone.

A recent MGMA Stat poll showed that 69% of practices reported an increase in denials in 2021.  On average, denials have increased by 17% in 2021.  Listen to today’s BIG Ideas podcast for ideas on how to track and then attack denials.  Track denials with a Pivot Table to understand what payers are denying which procedure codes for what reason.  Once you understand the reasons, attack denials using a claim scrubber — a tool that finds reasons payers will deny the claims.  Find the reasons and fix the problem before submitting the claim so you do not have to wait for the claim to deny and then have to take the time to appeal the claim.  The more you customize the claim scrubber to find denials specific to your practice, the more helpful the claim scrubber will be.