Denials overturn analysis.(denials management) From: Healthcare Financial Management | Date: November 1, 2005| Author: Robertson, Brian | COPYRIGHT 2005 Healthcare Financial Management Association. This material is published under license from the publisher through the Gale Group, Farmington Hills, Michigan.  All inquiries regarding rights should be directed to the Gale Group.Copyright information

The first rule of effective denials management is to thoroughly understand your denials portfolio. Such an understanding is impossible without overturn analysis based on the details of all three denial states: pending, won, and lost. Only with a complete data set can you obtain the win/loss metrics that present an accurate assessment of your denials status:

* What is my win/loss experience of denials (by payer, functional area, reason code)?

* Where am I succ...

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