What does "denied claims follow-up" involve in the billing cycle?

Denial claims follow-up is an essential aspect of the billing cycle, primarily focusing on investigating and resubmitting claims that have been denied by insurers. When a claim is denied, it indicates that the insurance provider found an issue with the submission that could range from incomplete information to non-coverage of a service provided.

The follow-up process involves reviewing the denial reason, gathering any necessary additional documentation or information, correcting any errors found in the original claim, and then resubmitting it to the insurance company for payment. This ensures that the healthcare provider receives the revenue they are owed for the services rendered to the patient.

Engaging in this follow-up helps to minimize revenue loss and improves the overall financial health of the practice. It is a critical component that can significantly impact the efficiency of the billing process and the practice's cash flow.