In this ever-changing revenue cycle space, it’s important for organizations to remain agile. That said, it’s time to break the mold when it comes to denial prevention efforts. During this presentation, we will review trends and traditional methods used over the years and talk about what works and what methods tend to fall short of the goal. We’ll then talk about taking denial prevention to a higher level using a three-pronged approach: reporting, accountability and training. For reporting, we’ll review the importance of defining a claim denial versus a delay in payment and how this distinction impacts prevention focus areas. Accountability is reinforced using a robust action plan that accomplishes cross departmental buy-in. We’ll focus on what should be included in your action plan, what are realistic timeframes, who should be involved and how to keep ideas fresh.
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