Getting a Handle on Denials and Underpayments

Five steps to improving your billing performance

A.J. Johnson

In the average physician office, there can be a wide gap between expected and actual claim reimbursement. In fact, payers make inaccurate payments on one out of every 14 healthcare claims (7.1 percent), according to the 2013 American Medical Association (AMA) National Health Insurer Report Card. This missing revenue isn’t easy to see when it’s hidden. However, if left unchecked, these underpaid and denied claims can significantly reduce revenue.

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