From 0 to Day 90: How MBC Transforms the Top 5 Denial Trends in RCM?

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From 0 to Day 90 How MBC Transforms the Top 5
Denial Trends in RCM?
Are you tired of dealing with frequent denied
claims that obstruct your practices revenue
cycle? Denied claims not only slow down your cash
flow but also add an unnecessary burden to your
administrative workload. As a medical specialist,
you understand the importance of maintaining a
healthy revenue cycle. In this blog, well
explore how, from Day 0 to Day 90, MBC transforms
the top 5 RCM denial trends. Denial Trends in
Revenue Cycle Management Denied claims, also
known as claim rejections, occur when insurers
refuse to reimburse for billed healthcare
services. These rejections stem from various
causes, such as coding errors or more intricate
issues like medical necessity disputes or failure
to meet policy criteria. The American Medical
Association (AMA) reports that initially, 15 of
medical claims face denialposing substantial
financial challenges for healthcare providers.
Timely resolution of these denials is essential
for sustaining financial stability. Key Reasons
for Claim Denials that Impact Revenue Cycle 1.
Patient Information
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From 0 to Day 90 How MBC Transforms the Top 5
Denial Trends in RCM?
Errors in patient information can lead to
immediate claim denials. Incorrect or incomplete
details are common issues that can be easily
avoided with meticulous attention to data entry
and verification processes. 2. Medical
Necessity Medical necessity denials occur when
the insurer deems a procedure or service not
essential. Ensuring proper documentation and
justification for every service can significantly
reduce these denials. 3. Coding
Errors Clerical errors in coding are a leading
cause of claim denials. Adhering to up-to-date
coding standards and continuous education on
coding practices can mitigate these errors. 4.
Submission Timeline Missing submission
deadlines can result in automatic denials. Hence,
timely submission of claims is crucial. 5.
Eligibility
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From 0 to Day 90 How MBC Transforms the Top 5
Denial Trends in RCM?
Verifying patient eligibility before providing
services is essential to prevent
eligibility-related denials. A robust
verification system can ensure coverage and avoid
unexpected denials. How MBC Revolutionizes Your
Revenue Cycle in 90 Days?
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From 0 to Day 90 How MBC Transforms the Top 5
Denial Trends in RCM?

• From Day 0 to Day 90, Medical Billers and Coders
  (MBC) can transform your practice by addressing
  the top five denial trends in revenue cycle
  management. Lets delve into how MBCs strategic
  approach can turn your denial trends into revenue
  streams.
• Day 0 Identifying the Issues
• On Day 0, your practice might face high denial
  rates due to
• Patient Information Errors Incomplete or
  incorrect patient information can lead to
  immediate denials.
• Medical Necessity Claims lacking sufficient
  medical necessity documentation are often
  rejected.
• Coding Errors Mistakes in medical coding,
  whether due to outdated systems or human error,
  are common.
• Submission Timeline Late submissions can result
  in automatic denials.
• Eligibility Issues Claims submitted without
  verifying patient eligibility are likely to be
  denied.
• Day 45 Implementing Solutions
• By Day 45, MBCs targeted strategies start
  showing results. Heres how

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From 0 to Day 90 How MBC Transforms the Top 5
Denial Trends in RCM?

• Enhanced Patient Information Systems We ensure
  all patient data is accurate and up-to-date.
• Medical Necessity Documentation We help in
  maintaining detailed documentation and meeting
  insurance requirements.
• Coding Accuracy We conduct regular audits and
  updates to coding practices to minimize errors.
• Timely Submissions Our streamlined processes
  ensure claims are submitted within the required
  timeframe.
• Eligibility Verification Our pre-claim
  eligibility checks prevent unnecessary denials.
• Day 90 Achieving Results
• By Day 90, you will notice significant
  improvements
• Reduced Denial Rates Our interventions have led
  to a noticeable drop in denial rates.
• Improved Cash Flow Efficient claim processing
  ensures faster reimbursements.
• Optimized Revenue Cycle Your practices
  financial health is significantly better with
  fewer denied claims.
• Ready to turn denials into approvals and boost
  your revenue?

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From 0 to Day 90 How MBC Transforms the Top 5
Denial Trends in RCM?

• Contact MBC today and discover how our proven
  strategies can transform your revenue cycle in
  just 90 days. Dont let denials hold your
  practice backpartner with MBC for sustainable
  financial growth. Call us at 888-357-3226 or
  email us at info_at_medicalbillersandcoders.com
• FAQs
• 1. What are the common reasons for medical claim
  denials?
• Denied claims often result from clerical errors,
  coding mistakes, lack of medical necessity, and
  eligibility issues.
• 2. How can outsourcing medical billing help my
  practice?
• Outsourcing to a specialized service
  like MBC reduces errors, ensures timely
  submissions, and frees up your time to focus on
  patient care.
• 3. Where can I find trusted sources for medical
  billing and coding?
• A Trusted sources include the Centers for
  Medicare Medicaid Services (CMS), the American
  Health Information Management Association
  (AHIMA), and the American Medical Association
  (AMA).