The U.S. healthcare industry is striving to meet two important goals - increasing efficiency and reducing costs. To do so, practitioners are being urged to adopt new health IT tools, such as electronic health records and revenue cycle management software, to streamline data entry.
Even when they use these systems, healthcare professionals must make sure the data quality
is good and that important information doesn't get siloed in a particular department. This is often the case when it comes to insurance denials, according to Healthcare IT News. Because back-end claims departments deal with denials, they often take the blame for inaccuracies. In fact, information that's collected on the frontend when the patient checks in can actually cause the claim to be rejected, the source notes.
Ralph Wuebker, vice president of audit, compliance and education for Executive Health Resources, explained that practices can reduce denials by producing better documentation and following best practices for data entry, as reported by Healthcare Finance News.
If providers want to improve their bottom lines by reducing their denials, they should make sure they're using data quality tools that ensure patient information is being correctly entered before it's transmitted to other departments.