Identifying the root cause of denials is the first step to turning them into revenue. Common reasons include:
Coding Errors (e.g., incorrect ICD or CPT codes)
Eligibility Issues (e.g., outdated insurance details)
Authorization Failures (e.g., missing pre-authorization or referrals)
Duplicate Claims (e.g., multiple submissions of the same claim)
Medical Necessity Denials (e.g., procedure deemed unnecessary)
Timely Filing Issues (e.g., claims submitted after the deadline)