BIG Ideas from The Business Intelligence Guy
ANSI Denials
Is inflation catching up with your practice?
Is it time to capture some of that money you are leaving on the table?
Today’s BIG Idea is to mine your ANSI codes, the Group and Reason codes on your EOBs. There is typically a lot of data to sift through, but when you sift, there is plenty of gold to be found. Today’s example is looking for timely filing denials. What types of claims are falling through the cracks? Where are those cracks, and how can you capture that missing revenue? Is it a staffing issue, do you need better reporting tools, or is the real issue sending out incomplete claims that will slow down and clog up the entire process? Use the ANSI code analysis to find problems and search for root causes. Fix those problems and dig again. The process will reward you over time.
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