Its true that effective denial management can increase healthcare collections to a huge extent. For years and years,
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Denial management requires more of analytical and decision making skills. Whether you work for a medical billing company or a physicians office, the gauge of your expertise lies in how you deal with the denied claims and get it paid. Even for a tough denial, there is a possibility to get it accepted by the insurance carriers through a strong re appeal. To do that, you have to be an expert in the field, be attentive to details,
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Insurance carriers deny claims if it doesnt comply with the insurance policies put forth by them. Therefore, a farsighted approach can help a lot in handling denials and avoiding reworks. We usually learn from the denials,
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Tips to effective denial management:

1)Maintain a separate file to enter the cause for denials and corrective measures. When there is a peculiar case of denial,
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2)Provider hand book contains enormous information on insurance policies,
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3)Whenever there is a new update in the industry,
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4)Set up a utilization review team that will do complete denial analysis and compare denial solutions provided to different client accounts to get best solutions out of it,
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Give equal importance to these tips and make sure that you dont miss out with new updates in the medical billing industry. Before you become aware that you had failed to notice the latest updates,
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When claims can be denied for various reasons,
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Tanya Gill is the Public Relations Manager for ecare India based in Chennai,
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