You’re knee-deep in the medical field. You juggle endless tasks every day, from patient care to…
How Clinical Documentation Impacts Commercial Payor Denials
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Denial Management in Healthcare
Facing a high volume of medical claim denials? Don’t worry; you’ve come to the right place…
Clinical Validation: Understanding Why Hospitals Are Vulnerable to Denials
Is your hospital receiving a high volume of clinical validation denials?
Optum (UHC) Profits from Denying ED Payments
Emergency departments (EDs), the US healthcare system “safety net”, are seeing…
Take control of Medicare Advantage denial challenges
The National Association of Healthcare Revenue Integrity (NAHRI) recently asked our…
Guest Blog: A Rebeginner’s Guide to Peer-to-Peer Appeals
Suggestions for conducting peer-to-peer appeals for denials. If you are wondering why…
Physician Advisor Perspective to Avoid a Potential DRG Clinical Validation Downgrade Denial of DRG 853
DRG 853 Infectious and Parasitic Diseases with OR Procedure w/MCC is Under Attack!