Which claims are likely to come back denied?
Plan
Checking every claim in the queue against that payer’s own rules
- Pulled the 38 claims waiting to go outBilling
- Checked payer rules and authorizationsPayers
- Ranked them by what is likely to bounceBilling
Three of the 38 will not clear as they are. I have held those back — the other 34 are ready whenever you are.
- 3 claims held back 38 checked Missing authorization, caught before they went out
- 1 code mismatch high risk Units billed do not match what the visit note says
- 34 cleared to send clean No issues found on the rest of the batch
Send the 34 clean claims
Show me the 3
Waiting on you
3 denials headed off · about $840 kept in the practice
