Preventing & dealing with ESRD claim denials

Nephrology practices and dialysis clinics should structure their billing procedures and specifically designate staff for tracking claims and appealing denials. Timeliness are careful navigation of denial process procedures are keys to optimizing reimbursement. Clearly, the dynamic nature of health care reimbursement demands that facilities become even more savvy in managing challenging reimbursement issues. Billing staff who know how to prevent denials whenever possible and confidently manage appeals when denials occur are instrumental to ensuring appropriate payment for medical services.