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RCM tip: Use an automated solution to tackle claim denials

RCM tip: Use an automated solution to tackle claim denials

As healthcare organizations continue to struggle with claim denials, an automated solution can help limit the issue, according to Kevin Lathrop, president of TriZetto Provider Solutions, a Cognizant company.

Mr. Lathrop shared the following tip with Becker’s Hospital Review.

“One way to keep denials from happening in the future is by stepping away from the manual processing that takes place at a computer terminal, and replacing it with an automated claims and denials system. An automated system has the benefit of knowing payer codes. Treatment codes change over time and must be kept up-to-date. Keeping track of them by hand is difficult and time-consuming, but an automated solution has the ability to keep codes updated by automatically requesting and receiving payer updates…

 

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