Get the benefit of physicians’ expertise to prevent and appeal insurance denials and increase revenue
To reduce the revenue lost by denials, many organizations involve their physicians in the appeals process. "Healthcare organizations are beginning to realize that it’s often cost-effective to have physicians participate to a greater extent in denial management," says attorney Linda M. Fotheringill, who advises healthcare organizations about preventing and appealing denials.
"Physicians’ in-depth clinical expertise is essential to managing denials, especially those based on medical necessity or other clinical issues, which all types of insurers, including Medicare, frequently use as the basis for denying claims," she says.
Most Viewed
Most Emailed
- Mapping Out Revenue-Cycle Solutions
- Will Maryland's Rate Shift Send Tremors Around the Country?
- ICD-10 Coding Uncovers Higher Rate of Fatal Falls Among Seniors
- E-book Revolution Changes, Challenges Healthcare
- Urologists 'Outraged' Over PSA Test Challenge
- Luxury Hospital Facilities Put Patient Experience First
- How Rivals Built an ACO
- FL Hospital Vendors Sentenced in Bribery Scheme
- MO Hospitals Review Highlights Value of Disaster Preparedness
- Medical Boards Step Up Disciplinary Actions

