4 Ways to Keep Ahead of Denials Amid the Pandemic

Understanding all that’s required to secure healthcare payment during a pandemic — especially for services related to COVID-19 — demanded that revenue cycle teams quickly refine denials management processes to protect their organization’s financial health.

However, as both hospitals and payers quickly shifted to a remote work environment, rather than experiencing a reduction in aging claims, delays in claim adjudication became common. Teams on both ends struggled to get used to the “new normal” of working from home.

The surge in virtual care visits — from telehealth, which has a virtual or audio component, to e-visits, which may take place via secure text — also required hospitals and systems to pay careful attention to the types of virtual care covered by payers and new codes released at a “blink-and-you’ll-miss-them” rate.