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.