Denials in orthotics and prosthetics billing are very common. Though the reason a practice prompts claims denial can be numerous, the most common reason for frequent orthotics and prosthetics claims denial are: Claim is not precise enough, the claim has incomplete information and untimely submission of claims.
The claim is not precise enough – one of the most common reasons for claims denial in orthotics and prosthetics billing is when the information in claims submitted is not adequately or well defined. This is why each diagnosis must be coded properly to the highest level maintaining accuracy.
When a claim has incomplete information- Any missing information or data about the patient may cause a denial. It can be either be the date of the accident, medical emergency and instigation or even misspelling of patient name, etc. This is why it is important to ensure proper scrutinization of all claims for missed fields and compulsory supporting credentials to be sure and claims should be completed precisely.
Untimely submission of claims – Claims which are not filed on time can face denial. Even though your claims are correct and however miss the dateline, your claim can still end up in the category of denial and rejected claims.
It is no secret that billing error in orthotics and prosthetics is inevitable and common. In fact, denial in orthotics and prosthetics are the most common factor.
Though one may not able to eradicate the chance of denial it can, however, be reduced if cautious efforts are taken. And this is why Sunknowledge Services Inc is here to help.
Sunknowledge -a trusted RCM solution:
Taking care of all your pre and post billing operations efficiently, Sunknowledge for the last 15+ years has been delivering outstanding support to many in the industry. Ensuring a better revenue cycle productivity with an efficient denial management system built for your operations, Sunknowledge experts not only reduce your chance of denial and rejected claims but also with the help of the right checks and balances maintain the billing and coding accuracy rate of 99.9%.
With a pool of experienced resources and dedicated assistance in improving your ROI, partnering with Sunknowledge expert give you the leverage of experiencing a better billing transaction, improving your claims management process and overall cash flow for better business.
So if you are struggling with denied and delayed claims that have become part of your billing routine, then get in touch with the Sunknowledge expert. As with Sunknowledge support team is here to enhance your overall billing transaction and its claims management process in no time at a cost-effective rate of $7 per hour. To know more, get in touch with Sunknowledge Services Inc., right now!
