Managed Care Contracting & Reimbursement Advisor, March 2008

Inside:

Focus on the key reasons payers reject your claims

Prepare for contract clauses defining never events

Focus on the key reasons payers reject your claims

In February, MCCRA looked at strategies to minimize claims denials from payers by fixing and resubmitting rejections, which occur before the claim is adjudicated. But some denials are inevitable, so practices need effective and appropriate responses.