Missing Contract Updates

Conduct a comprehensive analysis to determine the underlying causes of underpayments. It may be necessary to involve a revenue cycle analyst with expertise in underpayment recovery to effectively achieve this objective. During the analysis, it is important to identify any recurring patterns or trends in the data, such as consistent underpayments from specific payers or frequent occurrences of underpayments associated with particular procedures or codes. Additionally, assess whether coders are overlooking common charges or if missed contract updates are contributing to underpayments. Root cause analysis is crucial in understanding the reasons behind underpayments and implementing appropriate solutions. Communicate the analysis findings to the revenue cycle management teams and encourage their input to facilitate continuous improvement in workflows.

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