Claims Management

Every practice has claims denied, but it is how you handle them that matters. Denials can be immediate or delayed and can occur at the time certification is sought or at audit. They can vary by geographic region or by contract.

Easy Steps for Reducing Claims

• Classify the types of denials that you have (technical, professional or true)
• Quantify the facts surrounding the denial (the who, what, when, where, why and how many)
• Trend the results with specific performance metrics
• Know your specific areas of vulnerability
• Eliminate barriers to effective communication
• Establish organizational accountability