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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.
Typically, claims denials fall into one of eight categories, says Elizabeth W. Woodcock, MBA, FACMPE, CPC, an Atlanta-based healthcare author and trainer and a presenter at the Medical Group Management Association's (MGMA) annual conference in Philadelphia in October 2007. The following are ways to manage denials efficiently so you can receive appropriate reimbursement