By using this site, you agree to the Privacy Policy and Terms of Use.
Accept
Health Works CollectiveHealth Works CollectiveHealth Works Collective
  • Health
    • Mental Health
    Health
    Healthcare organizations are operating on slimmer profit margins than ever. One report in August showed that they are even lower than the beginning of the…
    Show More
    Top News
    photo of hands with blue veins
    8 Proven Tips on Finding Difficult Veins
    November 12, 2021
    tips for getting over the pandemic blues
    4 Proven Ways to Get Over the Pandemic Blues
    February 22, 2022
    medical industry innovations
    How is CNC Machining Transforming the Medical Industry?
    June 2, 2022
    Latest News
    Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
    May 16, 2025
    Learn how to Renew your Medical Card in West Virginia
    May 16, 2025
    Choosing the Right Supplement Manufacturer for Your Brand
    May 1, 2025
    Engineering Temporary Hospitals for Extreme Weather
    April 24, 2025
  • Policy and Law
    • Global Healthcare
    • Medical Ethics
    Policy and Law
    Get the latest updates about Insurance policies and Laws in the Healthcare industry for different geographical locations.
    Show More
    Top News
    Doctors on Google: Manhattan Research Survey 2012
    July 23, 2012
    HealthCare’s Need for Transparency Goes Far Beyond Pricing
    December 10, 2012
    Medicare Payments to Providers Are Carved, Sliced and Chopped by Sequestration
    March 25, 2013
    Latest News
    Building Smarter Care Teams: Aligning Roles, Structure, and Clinical Expertise
    May 18, 2025
    The Critical Role of Healthcare in Personal Injury Recovery: A Comprehensive Guide for Victims
    May 14, 2025
    The Backbone of Successful Trials: Clinical Data Management
    April 28, 2025
    Advancing Your Healthcare Career through Education and Specialization
    April 16, 2025
  • Medical Innovations
  • News
  • Wellness
  • Tech
Search
© 2023 HealthWorks Collective. All Rights Reserved.
Reading: How Much Are Your Denied Claims Costing You? 4 Tips for Reducing Claim Denials
Share
Notification Show More
Font ResizerAa
Health Works CollectiveHealth Works Collective
Font ResizerAa
Search
Follow US
  • About
  • Contact
  • Privacy
© 2023 HealthWorks Collective. All Rights Reserved.
Health Works Collective > Business > Finance > How Much Are Your Denied Claims Costing You? 4 Tips for Reducing Claim Denials
BusinessFinanceHospital Administration

How Much Are Your Denied Claims Costing You? 4 Tips for Reducing Claim Denials

Abby Norman
Last updated: August 9, 2014 8:00 am
Abby Norman
Share
4 Min Read
4 helpful tips to reduce claim denials
SHARE

4 helpful tips to reduce claim denialsIf you have a higher percentage of health insurance claim denials in your organization than you are comfortable with, you’re probably long overdue for a close look at what is driving these denials up – and I hate to be the one to tell you, but it’s not the p

Contents
Top 4 Tips in Reducing Claim Denials1. Make sure claims are legible (if submitting paper copy)!2. Make sure claims are coded accurately!3. Check, double check, and triple check claims before submitting!4. Submit claims on time!

4 helpful tips to reduce claim denialsIf you have a higher percentage of health insurance claim denials in your organization than you are comfortable with, you’re probably long overdue for a close look at what is driving these denials up – and I hate to be the one to tell you, but it’s not the payers!

Top 4 Tips in Reducing Claim Denials

Claims get denied for a variety of reasons – some of them are extremely simple to remedied, while others may require entire shifts in your organizational structure.

1. Make sure claims are legible (if submitting paper copy)!

A common reason is one that you may not even realize still matters in the world of electronic medical records: illegibility. There are some payers who are working in a partially or incomplete EMRs, therefore, they may be reliant upon paper claims. If the claims have illegible handwriting, misspelled words or other careless errors, the claim will likely be denied.

More Read

Healthcare Maps from RAC
Trends in Wounds and Wound Management
Effective Technologies for Wound Hemostasis, Sealing and Closure
Why Lead Generation Should Always Be Your Main Focus
Growth versus Volume in Medtech

2. Make sure claims are coded accurately!

Another common error comes directly from the coding department – as a rule, claims should always be coded to the highest level of specificity. This means that the difference between a claim being accepted and denied could be one number within a code – if even a 0 is missing, the claim could be denied.

3. Check, double check, and triple check claims before submitting!

More complex issues may arise such as missing information. From time to time we’ve all been so swamped with work, or distracted, that we’ve made careless errors when filling out a form. Many forms that we work with day to day are repetitive, have small print, and fields are easily overlooked. It’s imperative that when filling out claim forms- either by hand or electronically – that all fields are checked and double checked for completeness before they are sent off.

4. Submit claims on time!

Similarly, the claim you send off could be pristine- everything coded accurately, completely, it’s totally legible – yet, if you send it off and it misses the necessary deadline, it won’t be accepted. Taking measures to ensure timely filing for all your claims may create some stressful deadlines, but if your workflow is adequate, then you should always be able to submit claims on time.

Of course, that being said, if you know you submitted a claim when you needed to and there was some kind of obvious SNAFU at the payer’s office, it is up to you to hold them accountable. Do not let them bully you into a denial if they were the ones to have disrupted the receipt of the claim!

If a claim has been denied for any reason, make sure that you take the time to look closely at it and not only validate the reason it was denied- but take the chance to inspect it further for any other possible areas of vulnerability that could lead to subsequent denials when it is resubmitted.

Your best defense against denials is to be efficient and proactive! Click here to learn more about claim denials.

Share This Article
Facebook Copy Link Print
Share
By Abby Norman
My name is Abby Norman and I am a healthcare blogger. With over 10 years of experience in the medical field, I have developed a passion for helping others understand the complexities of healthcare.

Stay Connected

1.5kFollowersLike
4.5kFollowersFollow
2.8kFollowersPin
136kSubscribersSubscribe

Latest News

Clinical Expertise
Building Smarter Care Teams: Aligning Roles, Structure, and Clinical Expertise
Health care
May 18, 2025
Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
Grounded Healing: A Natural Ally for Sustainable Healthcare Systems
Health
May 15, 2025
Learn how to Renew your Medical Card in West Virginia
Learn how to Renew your Medical Card in West Virginia
Health
May 15, 2025
Dr. Klaus Rentrop Shares Acute Myocardial Infarction heart treatment
Dr. Klaus Rentrop Shares Acute Myocardial Infarction
Cardiology
May 13, 2025

You Might also Like

Is The FDA Keeping Us Fat?

November 11, 2011

Physician Websites: Five Good Ways to Connect With Patients

November 19, 2011

Sensors Offer New Power to Improve Health

November 12, 2014

What Is the Penalty for a HIPAA Violation?

February 11, 2014
Subscribe
Subscribe to our newsletter to get our newest articles instantly!
Follow US
© 2008-2025 HealthWorks Collective. All Rights Reserved.
  • About
  • Contact
  • Privacy
Welcome Back!

Sign in to your account

Username or Email Address
Password

Lost your password?