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Don’t Be Denied
Manage episode 378758541 series 3508863
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A great topic for both providers and consumers of healthcare, in this episode of Behind The Scenes, Sonda will be discussing appealing claim denials and your right to payment. It’s so important that we push back on insurance carriers, check rejections and receive that deserved revenue! We are passionate about this topic, so definitely listen in to hear more on:
• The increased rate of denials and shocking low rate for appeals.
• Rumored denial algorithm and major insurance carrier system unpredictabilities.
• Understanding that your denial might be in a grouping of reasons (ex. lack of prior-authorizations)
• An introduction to the reasons behind various claims from credentialing, out of network, exclusion of services, medical necessity, diagnosis and more.
This is only a taste of the themes we are excited to dive deeper into in future episodes! Let us know on socials which one you think we should cover next!
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