What do the experts have to say about managing health insurance denials?
“A denials database should be in place to help track the type of problems that occur” Julie A. Micheletti, Director Clinical Product Strategies, HSS, Inc. “The benefits of denial management include accelerated cash flow, reduced write-offs and improved management information” Lori Laubach, CPA “People should assume that they’re entitled to care and equipment until the insuring agency proves that they’re not” Joseph Romano, Author Legal Rights of the Catastrophically Ill and Injured “Providers are penalized financially by payers for not being able to submit their claims on time” “I think CEO’s need to realize that they have a 3% opportunity here to improve their revenues. They need to acknowledge that there is an opportunity – not a problem – to improve revenues by working their denials” David Harris, Partner, PricewaterhouseCoopers, New York, NY “What we do that’s wonderful is assign denials so we can track them. If a denial comes to my office, but is clinical, I reassign to a person w
