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The U.S. Government Accountability Office (GAO) reported that the Department of Health and Human Services (HHS) collected information from insurers in America and found that the aggregate claim denial rate was approximately 20 percent in 2010. That equals one of every five claims filed. Here...

The Workgroup for Electronic Data Interchange (WEDI) on the preparations for transitioning to ICD-10 being conducted by healthcare providers show that around fifty percent of those surveyed either have not become preparing for conversion to ICD-10 use or that they do not know when they...

Even in the most efficient medical billing department there are claim denials. While top performing practices enjoy denial rates of less than 5 percent, some practices experience denied claim rates of 10 to 30 percent. The first step in improving your financial performance is to understand...

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