Minimize Medical Claim Denials

According to Medical Group Management Association (MGMA), even the best-performing medical practices have 4 percent of their claims denied. MGMA estimates that up to 65 percent of denied claims are never re-submitted. It costs approximately $25 to re-submit a denied claim. Furthermore, if you don’t research the denied claim and correct and re-submit the claim within the time frame required by each individual payer (which many times is as short as 90 days) you may not get paid.

Of course, the best way to minimize a medical claim denial is to prevent them in the first place. Thus the medical billing professionals of ebix, Inc. make sure that all our medical claims are “clean”.  To put it another way, a clean medical claim meets the requirements stated by insurance providers for payment on the first submission. A clean medical claim begins at the first point of contact. This means patients are registered properly. Plus all primary, secondary, and tertiary insurance is confirmed.

Your medical practice should never accept a first-round denial as routine. In effect, to minimize medical claim denials, the ebix team of expert claim resolvers get your practice’s medical claims processed clean and quick.  We investigate the reason for the denial. And when necessary, we offer an extensive practice education and training session.

What we do:

  • Conduct accurate demographic and insurance registration of patients.
  • Meet timely filing deadlines.
  • Reconciliation of medical service provided to match the procedure code.

Contact us for a Complimentary Consultation.