Reduce Claim Denials in Sleep Studies

Sleep study facilities often face high claim denial rates due to errors in CPT and HCPCS coding, with denials averaging 35% industry-wide. Nexaserve Technologies partnered with a sleep study center to implement precise coding audits, identifying discrepancies in 25% of submitted claims. By adopting real-time claim scrubbing, we ensured compliance with payer policies, reducing denials by 30% within four months.

Our strategy included training staff on payer-specific requirements and integrating automated denial tracking tools. This allowed the facility to address issues like missing modifiers or incomplete documentation proactively, improving reimbursement rates by 20%.

Nexaserve’s analytics-driven approach provided actionable insights through detailed denial reports, pinpointing recurring issues with specific payers. This enabled the center to negotiate better contract terms and maintain HIPAA compliance, ensuring long-term financial stability.