Claim Denial vs Rejection? What's the difference? | Medical Billing

What is the difference between Claim Denials and Claim Rejection? | Today we are answering a question from our community. Big thanks to Micah Griggs for the question!
Do you have a question about the revenue cycle or the business of healthcare? Drop your question below!

#Medicalbilling #claimrejections #claimdenials

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❓❓ Do you have a question about the revenue cycle or the business of healthcare? Drop your question below! #revenuecyclemanagement​ #revenuecycle​ #medicalbilling
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Who is Jasmine?
A natural-born leader, Jasmine believes in creating a work environment that is fulfilling to its team both personally and professionally. With over two decades working in the healthcare industry, she leverages her experience and passion for people to help guide the next generation of medical billers. By implementing new processes that have proven to be both efficient and effective, she’s able to help scale organizations to new levels.
Jasmine works as a healthcare advisor and speaker to ensure her core mission of alleviating the stress and confusion from the business side of healthcare improves the patient care process. She is a master at developing systems that position an organization to grow while delivering exceptional services to its clients and patients. Jasmine has been able to reach new heights with her business by living a life full of passion and purpose.

[rishikeshgopinath]

This is truly an useful differentiation that a healthcare guy should know. Nailed it !!

[SH-voih]

I like your short and precise answers in very simple terms and in the short time span where listeners attentively are sharp and eager.

[joycevializ]

Great job with explaining the difference between Claim Denials vs Rejection.

[micahgriggs]

WOW, thank you so much! Awesome video :)

[deannacarpenter]

Jasmine - Great information. My team will definitely benefit from these descriptions and differences.

[ritablack]

Do you have a video on how to fix Medicaid error for example r03, G55 or ad1 I am new to the Medicaid world I am more so commercial now I am doing Medicaid something I just don't know how to fix the rejected error or is there somewhere I can find something or a book

[IsnSheLoveLee]

Thank you so much for sharing your knowledge!

[robertgaribyan]

Hi there, I had a question about denied claims. Let's say I sent out a claim on a date of service of 06/01 to a health insurance that has a timely filing of 90 days. If they deny the claim, do we only have until 09/01 to fix the claim and send it back? Or since we originally sent it out before then, the 90 days resets to the denial date? Thank you!

[Rohith]

This is very helpful.My claim got denied because of preexisting condition(kidney stones).Can I able to appel without denial.Any help is appreciated

[boumarianmai]

I worked for claims rejections and AR (claims denials).
Need your help more in claims denials.

[vinodhreddy]

Hello mam, can you explain about rejections types of rejections and what action to take how can call for rejection details etc.,

[aracelis]

I wish my hysterectomy was denied almost a year ago. My doctor misdiagnosed me with endometriosis and he pushed me to get the hysterectomy based on false symptoms and diagnosis 😢. My pathology result showed only two uterine polyps 😢

[cindysaminath]

Do you have anything that would help me with no fault and workers comp denial?

[okmankkkjjjgfdd]

Rejected claim can be appealed?

Actually I asked insurance to reprocess a rejected claim, but audit team gave an error to me .
Thy are asking me to appeal it.

How can a claim can be appealed without denial...? I think reprocess is the best way for rejection..
I kept rebutal on this to auditor


Kindly hlp me on this