Does your medical facility want to focus on core medical functions, minimize billing denials, increase efficiency in the billing process, cut down on costs, and ensure timely reimbursement all at the same time?
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Key Reasons for Denials
There are many issues that can arise leading to the denials in enrollment and credentialing. iKogitate has a separate physician enrollment and credentialing service which can effectively take care of physicians’ denial management.
Some of the main reasons for denials in medical billing are:
Incorrect patient information: This could be as simple as a misspelled name to grave differences like wrong information passed on
by the patient.
Invalid medical code: This is a major reason for denials, often codes are wrongly entered leading to a mismatch between codes and medication used.
Documentation: Lack of documentation support or counter-acting documents.
Clubbed or non-covered ailments: This is why it is important to talk to the patient’s insurer before conducting the treatment, so that you and the patient has a clear idea of the type of claims receivable.
Pre-authorization or pre-certification cases.
iKogitate’s Medical Billing Management Services to handle Denials
Identifying Key Reasons
Apart from the above mentioned reasons, iKogitate looks for and understands the frequent and hidden reasons behind constant denials and tries to draw the patterns and reasons which may be specific to your Clinic or practice. This may need a complete examination of your billing procedures and management. Once this is done, we know exactly where we should look and start fixing, for faster reduction in denials and effective claims management.
Specialized Resources for Denial Management
Denial management in medical billing is crucial, so there must and should be specialists handling denials, as normal billing experts may not look at the whole process keeping the claims in perspective. Once a claim is denied there is a long and time-consuming process of following-up and re-submitting as per the prescribed norms, which makes it a diligent job. Therefore, iKogitate has employed specialized and experienced resources to handle denial management.
iKogitate Understands Various Insurer’s Norms and Specific Procedures
This is the key, where the two ends meet, and this is also where iKogitate specializes in. Apart from claims denial management, it is our knowledge of working with many insurance companies that makes us adept at their standard and unique procedures. This makes the process easier as the entire billing preparation and other claims documents are prepared as per the insurer’s norms. This not only helps avoid denials but also leads to faster payments.