What is a Closed Loop Denial Prevention Process?
Closed loop; noun - a control system with a feedback loop that is active Denial; noun - the refusal to satisfy a claim, request, desire, etc. Prevention; noun – an action that stops something from...
View ArticlePreventing Reimbursement Denials in Context
To better understand what a closed loop denial prevention process is, let’s first examine what the opposite would be and study what normally happens when a payor implements a proprietary rule....
View ArticleCreating a Closed Loop Denial Prevention Process
So, how do you create a Closed Loop Denial Prevention Process? It requires a rules engine capable of finding claims that are destined for denial; preferably before they are posted to the PM system so...
View ArticleCLDPP to Combat Increasing Payor Rules
AMA’s 2012 National Health Insurer Report Card provides interesting insight into what the revenue cycle might look like in the next few years (Learn more about the AMA 2012 Report Card, here). There...
View ArticleMeaningful Use - Do the Math
When the HITECH act was first introduced in 2009, it seemed like a really good deal for eligible providers who could buy the latest technology and get incentivized richly to do it. Dare we say...
View ArticleWhat is a Closed Loop Denial Prevention Process?
Closed loop; noun - a control system with a feedback loop that is active Denial; noun - the refusal to satisfy a claim, request, desire, etc. Prevention; noun – an action that stops something from...
View ArticlePreventing Reimbursement Denials in Context
To better understand what a closed loop denial prevention process is, let’s first examine what the opposite would be and study what normally happens when a payor implements a proprietary rule....
View ArticleCreating a Closed Loop Denial Prevention Process
So, how do you create a Closed Loop Denial Prevention Process? It requires a rules engine capable of finding claims that are destined for denial; preferably before they are posted to the PM system so...
View ArticleCLDPP to Combat Increasing Payor Rules
AMA’s 2012 National Health Insurer Report Card provides interesting insight into what the revenue cycle might look like in the next few years (Learn more about the AMA 2012 Report Card, here). There...
View ArticleMeaningful Use - Do the Math
When the HITECH act was first introduced in 2009, it seemed like a really good deal for eligible providers who could buy the latest technology and get incentivized richly to do it. Dare we say...
View Article
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