A multidisciplinary approach to denials prevention

Children's National Medical Center's approach to preventing denials and managing response to audits includes the following: Mapping out problem areas in the claims submission process and developing solutions with the help of a multidisciplinary team. Using case managers to help prevent denials and assist in the appeal of rejected claims. Requesting oral reconsideration of pended claims and supporting attending physicians in orally responding to the payer's medical team regarding the case.