PT Insurance Claims Management: Prevent Denials Before Submission
PT Insurance Claims Management: Prevent Denials Before Submission
Most claim denials are process failures, not payer surprises. Build controls before submission and denial rates drop quickly.
Pre-submit checklist
- Eligibility verified and authorization captured
- CPT coding aligned to documented interventions
- Plan-of-care dates and visit counts consistent
- Provider signature and service date validated
Operational metric to watch
Track first-pass acceptance rate by payer. If one payer underperforms, review claim-level denial reasons and update templates.