Top Causes of Reimbursement Denials Revealed by Chhoda

Nitin Chhoda, an electronic medical record (EMR) expert, understands the challenges of changing landscape of healthcare insurance that create monetary hardships for many practitioners in the practices of his clients. He has released his top reasons for denials and how an EMR will help alleviate the increasingly difficult reimbursement process.

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The patient’s eligibility, benefits and limitations can be ascertained, along with the need for any preauthorization, if the client has multiple insurers, and the relationship of the client to the policy holder.

Denville, NJ (PRWEB) November 03, 2013

“Denials are becoming more common as healthcare insurers change plans and delivery of benefits,” said Chhoda. “Electronic medical records have the tools and capabilities to verify insurance coverage, eliminate mistakes and submit claims electronically to shorten reimbursement turnarounds.”

EMRs eliminate paper records, replacing them with electronic documents that can be accessed by multiple providers. Patient records are saved and updated automatically for complete and current documentation of symptoms, ailments, medications and treatments. Chhoda’s new top causes of denials are easily remedied by an EMR.

Information Isn’t Updated
Users should be given multiple opportunities to update their information with staff. Misspelling in names, inaccurate contact information, and incorrect date of birth or identifying a patient with the wrong gender will result in a denial, the need to correct the data and a delay in reimbursements. An EMR physical therapy software system can identify errors before claims are submitted.

Inability to Verify Coverage
A client’s insurance coverage should be verified each time treatment or services are provided and an EMR accomplishes the task quickly. The patient’s eligibility, benefits and limitations can be ascertained, along with the need for any preauthorization, if the client has multiple insurers, and the relationship of the client to the policy holder.

Coding Mistakes
Medical billing, treatment and procedural codes are the lifeblood of a practice, providing all the necessary information for claims. It’s essential that codes are current. EMRs have the ability to detect discrepancies in coding and potential issues that will generate a denial, and handle the new ICD-10 codes.

EMR provides practitioners with a complete claim management system to assist clinicians in avoiding the top three causes of denials. Loss of healthcare insurance, limited benefits and caps on dollar amounts are reducing revenues and creating more denials. Chhoda’s new information provides practice owners with vital data to identify problem areas that generate denials before claims are submitted that will adversely affect clinic coffers.

Chhoda’s office can be reached by phone at 201-535-4475. For more information, visit the website at http://www.emrnews.com.

About Nitin Chhoda
Nitin Chhoda PT, DPT is a licensed physical therapist, a certified strength and conditioning specialist and an entrepreneur. He is the author of "Physical Therapy Marketing For The New Economy" and "Marketing for Physical Therapy Clinics" and is a prolific speaker, writer and creator of products and systems to streamline medical billing and coding, electronic medical records, health care practice management and marketing to increase referrals. He has been featured in numerous industry magazines, major radio and broadcast media, and is the founder of Referral Ignition training systems and the annual Private Practice Summit. Chhoda speaks extensively throughout the U.S., Canada and Asia. He is also the creator of the Therapy Newsletter and Clinical Contact, both web-based services to help private practices improve communication with patients, delivery better quality of care and boost patient retention.