Sorted:

Enhanced Handling of Multiple CPT Denials with Different Denial Codes

Enhanced Handling of Multiple CPT Denials with Different Denial Codes

We are pleased to announce enhancements to our claims management system, specifically in how CPT denials are handled within claims processing. With the latest update, when a claim contains multiple CPTs that share the same denial code and one is moved to the "In Process" bucket, all associated CPTs with the same denial reason will now automatically move together, ensuring efficient bulk processing. This update is designed to streamline workflows and reduce manual sorting of CPTs with identical denial reasons. Conversely, for CPTs with differing denial reasons within the same claim, the system now supports independent movement. This means that if a user moves one CPT to "In Process," any other CPTs with different denial reasons will remain in their original bucket, allowing for more precise claim adjustments. Additionally, all movements, whether individual or grouped, are meticulously logged, providing a clear audit trail that captures all user actions, affected CPTs, and the specific denial reasons involved. This targeted approach enhances our claims processing by allowing for both grouped handling when applicable and independent adjustments as needed, ultimately improving the accuracy and efficiency of our claims management system.