Assessing denials management systems for a physician practice

If we want to get paid for the work we do, we must submit clean and accurately coded claims and hold payers accountable.

About 90% of rejected claims are preventable, and more than 70% of denied claims can be overturned. A robust denials management system is vital to making that happen.

The right system can help to identify where the most money is lost, determine the root causes and focus efforts on developing corrective actions and prevention plans.

The following checklist outlines ideal features of a denials management system that will provide practices with the level of reports, ease of use and functionality to be worth the investment.

Denials management system assessment checklist