3 Tools to Help Limit Denials

As the regulatory environment continues to shift, impacting health systems across the country, it is crucial to have all of the necessary tools and resources to successfully avoid or limit the impacts brought on by these trends – specifically denials. A recent Advisory Board study found that both commercial and public payers are now denying about one in every 10 submitted claims, costing health systems up to 2% of net patient revenue.1

Discover the 3 tools that can help ensure your hospital is well equipped and fully prepared to meet the current and upcoming regulatory trends.

1.   Denials and Appeals Experts

  • A structured support plan provided by a knowledgeable and experienced team of appeals specialists will help limit denials.
  • Due to the complexity and specialization often required, many health systems are finding success through focused support from a dedicated rehabilitation partner that has the proven expertise in limiting denials. 

2.   Streamlined Interdisciplinary Team

  • Since the patient journey begins in an acute care setting, it is crucial to work as a team to best understand how each clinician’s documentation supports medical necessity.
  • Ensuring consistent and appropriate documentation across each stage of the care continuum is more important than ever before.

3.   A Trusted Partner

  • A partnership to help overcome denial challenges can be impactful, as this trend is expected to rise in the coming years.
  • Now more than ever, having a dedicated rehabilitation partner that can reduce the burden of running acute rehabilitation can help overcome these key challenges and enable your facility to focus on what matters most: the patient.

Successfully integrating these tools will not only reduce the risk of denials, but it will also ensure the right patients are admitted, therefore opening the door to a larger patient population in need of vital care who meet your rehabilitation unit’s admission criteria.

Read our whitepaper, “Ask the Expert: 10 Things to Know About Denials” to learn more about current and future denial trends and how your hospital or rehabilitation unit can successfully navigate these potential challenges.

By Kindred Rehabilitation