Rejected medical claims are the bane of any medical practice’s existence. The healthcare revenue cycle is a process that’s full of potential problems that can harm a practice’s financial performance, and rejected claims are one of the biggest problems that can be encountered. So, what exactly is so harmful about claims being rejected? Today, let’s talk about how rejected medical claims can harm medical practices.
You Could Be Targeted With Audits
If your medical practice is experiencing frequent medical billing errors, not only will your practice lose revenue, but you could also be targeted with billing audits. Practices that constantly have billing errors are more prone to getting audited. These audits can compromise practices because there’s a higher chance of those practices getting rejected by payers in the future. Not only that, but recurring audits can become tedious, impacting the morale of your practice as a whole.
Higher Employee Burnout
The healthcare industry can suffer from staffing shortages. When staffing needs aren’t met, employees can become frustrated and experience burnout. That burnout and frustration will only go up when medical claims get rejected. All this serves to do is create even more work for your employees, making staff members more frustrated and increasing the frequency of job burnout.
Ignoring Other Important Tasks
When your practice receives a rejected claim, you may need to look at the possible mistakes that were made with said claim. All the while, your other duties end up getting postponed. This not only takes time away from your day-to-day operations, but you can also lose money over time because settling and reworking claims can cost quite a bit of money if enough claims get rejected.
Organizational Problems
If you get a rejected claim or two on occasion, you could assume they’re related to billing errors. With enough rejected claims, however, your practice could start dealing with organizational problems. It could get to the point that different departments start trying to point blame at the others as to why these claims get rejected. This can cause departments to start doubting the billing team, resulting in heavy conflict.
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