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Preventing Denials

How To Avoid Denial

Common Problems and Solutions

Knowing proper claims submission procedures can help maintain financial efficiency and relieve patient anxiety concerning claim denials. Industry sources indicate that submission errors cause the great majority of initial claim denials or underpayments. In addition to submitting claims immediately following service, reviewing the attached reasons for claim denials or underpayments can be helpful in avoiding problems. For example, one Medicare Part B carrier reports that 57 percent of all claims successfully appealed were initially denied because of submission errors.

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Back on Track

Looks like ER is back to its old self — which is better for some characters than others.

Carter is faced with the most difficult patient decision of the night: whether or not to keep someone alive who’s a DNR patient (that’s “do not resuscitate” for you novices out there). The problem? He’s already resuscitated her by the time he finds out her wishes. In true old-school-Carter style, he wrestles with the decision, then follows the 67-year-old woman’s wishes and removes her from the life-support machine.

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Strategies to Increase Activity 3

Talk Back to Negative Thoughts
Don’t give in to negative thoughts. If you do, it will be more difficult to get back on track. Missing one or two days of activity does not mean that you have totally blown your activity program and have gone back to being a couch potato. Consider this for what it is, simply a temporary lapse. If you let the negative thoughts take over, they may lead to more lapses, which can result in the complete collapse of your program. When you catch yourself having negative thoughts, try to replace them with positive thoughts. Some suggestions are illustrated in the table below.

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