Urology Claim Denial Management to Reclaim Lost Revenue
The financial impact of inaccurate claims extends far beyond a few unpaid balances. CMS reported a 6.55% Medicare Fee-for-Service improper payment rate for fiscal year 2025, representing approximately $28.83 billion. Although CMS clarifies that improper payments are not the same as fraud or claim denials, the figure demonstrates how documentation, coding, and billing weaknesses can create...
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