Top Ten Reasons for Denials
In 2001, a major Part B Medicare carrier compiled a list of the top ten reasons for claim denials at the carrier end.
  1. Incorrect or missing ICD-9 diagnoses
  2. Incorrect or missing CPT-4 modifiers
  3. Duplicate claim
  4. Additional information needed to process the claim
  5. Claim billed amount incorrect
  6. Incorrect or missing CPT procedure code
  7. Physician’s name and/or UPIN missing or incorrect
  8. Incorrect or missing place of service code
  9. Incorrect or missing quantity of services
  10. Services inappropriately bundled
 

HNM’s CPT, ASA and ICD-9 coding BY CERTIFIED CODERS culled from supporting documentation eliminates the rejection issues listed above!
Getting it right the first time is the most effective way.

Every step in billing and collections presents an opportunity for errors and denials
                 


Five billion claims per year are processed in US (Source: HCIA)
30% are rejected
50% never resubmitted (15% total)		  
Recent HCFA/CMS data:
26% of services processed are rejected
40% are never re-billed to Medicare
HNM’s CPT, ASA and ICD-9 coding BY CERTIFIED CODERS culled from supporting documentation eliminate the rejection issues listed above!

Getting it right the first time is the most effective way.

What HNM Can Do For You To Avoid the Pitfalls of Poor Collections  more