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Top Five Reasons for Denials

Help your hospital get out of denial by addressing the top five reasons for claim denials. When the causal reasons are understood, most denials are both preventable and appealable. The top five reasons given for claim denials are: Inpatient versus Outpatient...

2015 – A Big Year for Audits

As the New Year begins, Recovery Auditors (RACs) have lawsuits preventing them from moving forward and a number of congressional leaders are saying RACs aren’t working in the way intended. RAC denials of payment to hospitals were determined to be very inconsistent in...
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