Denials, Delays, and Write-Offs: The Revenue Problem No Practice Can Ignore

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Every medical practice talks about growth. Few talk honestly about what’s killing their revenue. It’s not patient volume. It’s not payer mix. It’s the silent trio draining cash every month : denials, payment delays, and write-offs . By the time most practices notice the damage, the money is already gone. The Hidden Revenue Crisis in Healthcare Practices Across the U.S., practices lose 5–10% of collectible revenue every year due to preventable billing failures. That loss doesn’t show up as a single error — it spreads quietly across: Denied claims that never get appealed Delayed payments that age past recovery Write-offs accepted as “normal operations.” Individually, they look manageable. Collectively, they destroy profitability. Denials: Where Revenue First Breaks Claim denials are not random. They’re predictable—and preventable. Common denial drivers: Incorrect CPT–ICD pairing Missing or expired prior authorizations Medical necessity documentation g...
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Enhance Pathology Revenue with a Smooth Billing Process

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The constant change in the healthcare industry has impacted timely reimbursement for medical practices over the past few years. Pathology Medicare and Medicaid have gone on a reduction spree as far as physician reimbursements are concerned. Most third-party payers like Cigna and Aetna are keener on signing up contracts with physicians that focus on fee-for-service, where the reimbursement is less than 100% more often than not.

Here are a few ways to enhance revenues and have a perfect billing process in place.

Be Familiar with your LCDs

Pathology billing companies need to be familiar with Local Coverage Determinations (LCDs) and know the ins and outs of how they are related to various specialties and other frequently billed services. LCDs give a crystal clear picture of the instances when some procedures are covered by Pathology Medicare. They will also indicate the specific circumstances under which a procedure is considered appropriate and absolutely necessary. One can also find details on coding guidelines that facilitate reimbursement faster and without any hitches. 

Be thorough with your Electronic submission reports

Submission reports can come in very handy for a Pathology Billing Services provider while verifying various claims that are submitted. They can easily track the claims received by the payers. The reports also help keep track of the rejected claims and know about the reasons why they were rejected. Pathology billing companies can intensely review such reports to ward off probable denials, make necessary corrections and resubmit the claims immediately. Claims that did not reach the payers can also be investigated and scanned for errors, which can be corrected before resubmission.

To know more about our Pathology Billing Process click here: https://bit.ly/3V9TBDf Contact us at info@medicalbillersandcoders.com/ 888-357-3226.

Location: United States

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