Auditors' Desk Reference 2013

Auditors Desk Reference formerly the Auditing and Denial Management Tool Kit helps you understand your denials, better manage your claims process, and learn what actions to take for a quicker turn around time on your reimbursement. From data collection and claims submission to payer inquiries and denial management you ll submit the right information up front and you ll know exactly how to correct denied claims so you spend less time and money resubmitting. Key Features and Benefits Optum Edge. Understand how to efficiently resolve denied claims and receive your money faster. Audit claims and processes to find the underlying problems that cause denials. Identify the root cause of denials and take action to prevent delayed or denied payment. Establish and maintain an effective denial management process. Quickly respond to payer inquiries and take the necessary corrective action. Optum Edge. Admittance Advice Remark code crosswalk and action alerts are included. Includes searchable CD. Access printable templates to help improve your appeal and resubmission processes. Easily search the contents of the manual for key topics. Understand what Medicare will cover when Medicare is the secondary payer. Comprehensive guidance to determining primary and secondary payer.