4 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A R C H 2 0 1 6
O
ne of 3 things will happen when you submit a claim: It may
be paid correctly, partially paid and, of course, it may be
denied altogether. It's the seemingly little things that can trip
you up. Around one-third of claims are denied due to minor errors in
coding, registration or billing. And it costs an average of $25 to
rework a denied claim. Here are 6 strategies to get more of your
claims paid correctly the first time.
Code it right the first time
The most obvious way to keep denied claims below the MGMA
benchmark of 4% is to send out a clean claim on the first attempt.
Easier said than done, right? This requires having properly trained
coders in the right positions. Coding is comprehensive and layered, so
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6 Strategies to Get Your Claims Paid Correctly
Don't let minor errors in coding, registration or billing trip you up.
Coding & Billing
Chris Klitgaard, MHS, MBA, and Kimberly Vegter, CPC, CPC-I
• BETTER INTAKE Make sure staff handling pre-op paperwork is trained to avoid mistakes that could hurt your revenue cycle down the line.
