Are denial write-off reason codes at your organization giving you insights into denial prevention and accountability?
HBI recommends reviewing your system write-off reason codes with a “fresh eyes” approach to ensure codes are mutually exclusive and collectively exhaustive. HBI’s Custom Services team finds that often healthcare organization’s lack codes for certain denial types, use ambiguous codes, and/or have duplicate codes for the same issue in the system.
Write-off reasons with greater specificity can help inform denial prevention efforts with minimal investment. For example, such write-off reason categories may include:
- Late charge write-offs
- No authorization: clinical
- No authorization: registration
- Non-credential physician services
- Level of care
- Eligibility (Non-COB)
- Post-appeal deadline
- Missing MOON form
It’s also important to ensure that staff have the proper training on when to use certain codes, as well as established write-off policies regarding such issues as write-off thresholds (e.g., by dollar amount) and proper levels of approval (e.g., director approval for timely filing write offs).
We would love to hear your thoughts on how your organization uses denial codes. What’s working well and what could be improved?