Author Topic: Best Practices to Reduce Claim Denials Through Accurate Documentation  (Read 12 times)

charliehampton

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Our practice has seen denial rates creep up over the last two quarters, mostly tied to "insufficient documentation to support medical necessity" on E/M visits. I wanted to open this up as a general discussion — what's working for other practices to keep denial rates down?

A few things we're already doing:

Weekly chart audits on a sample of claims before submission
Coder feedback loop directly with providers, not just billing staff
Payer-specific denial tracking spreadsheet

Would love to hear what else people are doing, especially anything that's made a measurable difference.

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