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A. What strategies can be used to improve claim submissions to reduce claim denials? B. What strategies can be used to improve insurance reimbursement timing?
A. What strategies can be used to improve claim submissions to reduce claim denials?
B. What strategies can be used to improve insurance reimbursement timing?
C. Are the companies from part 1 meeting those benchmarks?
D. Is there room for improvement?
E. What strategies would those companies employ to better meet those benchmarks?
Benchmarks - Days in Accounts Receivable - Entry Lag - Avg number of days from encounter to charge entry 048 hours - Charge Entry to date of bill release to Clearinghouse/Payer - 24-72 hours - Denial Rate - Less than 4% - Industry Overhead Comparison Other Useful Benchmarks - Percentage of insurance verified - 98% - Number of patients cleared (demographic \& insurance data necessary for claims processing prior to visit 90% - Error rates due to front-end billing - Less than 2% - Time of Service Collections \% Copayments 100% - Follow-up notes documented on the accountStep by Step Solution
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