by Maria Bounos
When managing claims denials, having a great strategy is your best defense. Recent conversations with hospital reimbursement team members underscores the importance of good clinical documentation, as hospitals are focused primarily on caring for their patients. Their experience, along with industry peers, revealed that their focus was being drawn away from this primary goal by the ever-increasing paid claims audits! The Recovery Auditors, along with other third-party payers, are auditing and expanding both their reach and frequency, resulting in administrative burden and costly payment denials.