DrChrono has made significant improvements to the Denial Analysis report. It will allow you to examine your practice's denied charges to identify trends and eliminate the root cause.
Let's look at the Summary tab:
First, the tabs are on the top left of the screen.
- Summary - This tab provides a high-level view of your denied charges. It is also where you can customize the report to meet your business needs.
Many controls are available to customize the report to meet your business needs.
Controls include:
- Date - This is where you can set the beginning and ending dates of your report.
- Office - Allows you to search by a specific office location.
- Patient - Allows you to search for a specific patient.
- Is Rebilled Claim - Allows you to search by first billed, rebilled, or all claims.
- Is Zero Balance Claim - Allows you to search by claims that have a balance or no balance.
- Exam Room - Allows you to search by a specific exam room within your office.
- Claim Type - This is where you can select professional or institutional claims if your account is set to bill institutional claims
- Adjustment Code - Allows you to search for a specific adjustment code.
Data Freshness Date - This date and time stamp indicates when the data was retrieved from our servers. There should typically be a 15-minute lag between entering a payment/adjustment/credit and viewing it on the report.
This section will also allow you to group by:
- Primary - Insurance payer, Procedure Code, Reason Code
- Sub Group by - Insurance payer, Reason Code
- Tertiary Group by - Defaults to one of the 3 types of codes not selected for group by or sub-group by
Once you select your parameters, you will see your report onscreen on the summary tab:
Grouped by Reason Code
The denial reason code will be listed on the left side. The associated dollars will be broken down into time frames (0-30; 31-60; 61-90; 91-120; Over 120 days). The total associated dollar amount will be listed on the right.
Grouped by Insurance Payer
The insurance payer will be listed on the left side. The associated dollars will be broken down into time frames (0-30; 31-60; 61-90; 91-120; Over 120 days). The total associated dollar amount will be listed on the right.
Grouped by Procedure Code
The CPT/HCPCS code will be listed on the left side. The associated dollars will be broken down into time frames (0-30; 31-60; 61-90; 91-120; Over 120 days). The total associated dollar amount will be listed on the right.
