Question everything...especially when it comes to claims! - DoctorsManagement Question everything...especially when it comes to claims! - DoctorsManagement
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Question everything…especially when it comes to claims!

43% of RAC appeals win according to CMS RAC appeals update*

It pays to appeal claims — at least that’s what 43% of hospitals and other providers learned in 2011. Of the 56,620 claims that were appealed, 43.4% received a ruling in favor of the provider.

While automated claims were overturned in favor of provider more often (57%) than complex claims (19%), the dollar amount for complex claims overturned was $29.95 million (79%) versus $5.94 million (16%).

The bottom line: if you’re not appealing claims you could be missing out on revenue that your practice has rightfully earned!

Learn ways you can boost revenue and reduce risk with coding training or a coding audit from DoctorsManagement.

If you have questions about this topic or any other issues around the business of medicine, contact us via email or call us at 800-635-4040.