A recent American Health Association report showed that nearly 90% of hospitals have experienced higher rates of payment denials over the last three years, with half of those respondents describing this increase as ‘significant’. Claim denials impact revenue for hospitals, which in the long term also affects the quality of patient care.
Revenue cycle management can be especially challenging for hospitals, as prior authorizations are sometimes difficult to acquire before a procedure has to take place. Because of the wide range of treatments a hospital will offer, medical coding mistakes may be commonplace
DMG’s hospital billing experts have identified many causes of hospital billing claim denial, and apply accurate solutions on medical billing and coding issues. We always prioritize remediation where it is needed the most, and aim to reduce claim denial rates overall.
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