Learning how to fish for denied claims

When it comes to getting your money's worth from patient encounters, it's trickier than ever out there, according to consultant Linda LiCalsi. Managing care tactics are changing, and the result is that many hospitals average only 90.1 percent of their contracted rates. In this piece LiCalsi talks about some of the tactics payers use to accomplish this result, and tricks to look for--such as split billing and re-billing--when you're ready to catch these problems. Article

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