Etactics

APRIL 13, 2023

When dealing with medical claim denial statistics, Experian Health has some great examples. For instance, according to their 2022 State of Claims Survey , 30% of health professionals say that claim denials are increasing anywhere from 10% to 15%. Why are denials such a pain?

Regulations 52

Regulations Nursing Prevention Healthcare 52

Etactics

FEBRUARY 8, 2022

$262 billion worth of claims get denied on an annual basis according to HFMA. it would amount to around $5 million worth of denials per. That’s an insane statistic. If the average dollar amount of denials costs providers that much, regardless of the size of their practice, how are they supposed to keep their doors open?

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Medicaid Healthcare Healthcare Providers 52

Etactics

JANUARY 18, 2022

Whether you’re a seasoned behavioral health professional that just opened a private practice or a biller that just landed your first job at a facility, you have to figure out how to bill insurance companies for counseling services. Two statistics help paint the dismal picture that is billing insurance companies.

Private Practices 52

Private Practices Tricare Accountability Medicaid 52

Etactics

AUGUST 30, 2022

You submit a patient’s claim to their insurance payer, their payer takes a look at it and they pay you. Although that statement is technically true regarding the claim submission process, it’s definitely not easy. After all, there’s a reason why 30% of insurance claims get denied on their first submission.

Healthcare 52

Healthcare Accountability Nursing 52

Etactics

JANUARY 11, 2022

Although the billing rules within the mental health space seem archaic, the practice sends shivers down the spine across the entire medical world…regardless of specialty. You see, the average initial claim denial rate in Q3 of 2020 alone hit over 11%. A more recent survey from 2021 determined that 85% of denials are preventable.

Medicaid 52

Medicaid Integration Medicare Healthcare 52

Etactics

FEBRUARY 1, 2022

In this dark, clearinghouse-less reality, providers would have to turn down insured patients who use insurances that only accept electronic claims. Medical claim clearinghouses act as the connection point between providers and insurances. Without them healthcare would essentially grind to a screeching halt.

Integration 52

Integration Healthcare Medicaid Healthcare Providers 52

Etactics

JULY 8, 2021

They might show up repeatedly in the emergency room, have complex medical problems, have low health literacy, use a number of medications, visit multiple specialists, etc. Chronicle Your Expertise Through a Blog Every minute 70,000 health-related searches get entered into Google. Generate Reviews to Protect Your Reputation.

Doctors 52

Doctors Accountability Urgent Care Hospitals 52