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Best Practices to Reduce Claim Denials Through Accurate Documentation
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charliehampton:
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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