Claim denials can severely impact a practice’s revenue if not addressed promptly. At OptumRCM, we help healthcare providers identify denial patterns and implement preventive strategies.
Common Reasons Claims Get Denied
- Inaccurate patient demographics
- Missing or invalid CPT / ICD-10 codes
- Lack of prior authorization
- Timely filing errors
- Insurance eligibility issues
How OptumRCM Helps Prevent Denials
Our denial prevention strategy includes:
- Clean claim validation before submission
- Payer-specific billing rule checks
- Ongoing coding audits
- Root-cause denial analysis
Importance of Denial Management
Denied claims must be corrected and appealed quickly. OptumRCM ensures every denial is reviewed, corrected, and resubmitted within payer deadlines.
Final Thoughts
Preventing denials improves cash flow and reduces administrative burden. With OptumRCM as your RCM partner, practices can achieve higher collections and long-term financial stability.