Address claims denial management


Question: In a technical report (1 page), address claims denial management. Discuss in detail, the effect of denied claims (two full paragraphs minimum). Identify at least 3 potential reasons for claims denials - be specific. "Coding errors" is vague, give an example. For each of the reasons above, outline a high-level plan of action to reduce denied claims/denial resolution (be specific and keep in mind these are steps to take before the claim is submitted to 3rd party payers). Also note that coders should already be trained and following the guidelines. These are not a plan of action. Focus on the type of error.

 

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