Which denials has nobody worked?
The short answer
A denial has been worked when something happened after it. Practice KPIs reads the eBO reports you export from eClinicalWorks and lists the denials where nothing did: denied a set number of days ago, and since then no payment, no new answer from the insurer and no write-off. The list is ranked by dollars and exports to Excel.
How it is counted
- The days to wait are your own. They are set from your practice's own denials, once enough are held; until then the list shows without a day count. The page shows the rule behind it: of workable denials with nothing on them at each age, the share that move in the next 60 days.
- Front desk denials are separate. Authorization and coverage denials go on their own list, for the people who can fix them.
- Past saving is set apart. Each insurer type has its own cut. Past it, under 1 in 10 denials move, so those are shown as past saving, not as work to do.
- The share never touched. The page says what percent of your practice's denials are never touched.
What you see
One To do page: each list with its count and its dollars, ready for your biller. Beside it, the Claims page shows which insurer started denying more against its own usual, and denied dollars by reason, code and insurer.
Denied dollars by reason. Sample practice, invented data.
Open the To do page in the live demo or see the denial charts. The demo is the real app on a made-up practice.
What it needs
Two eBO reports from eClinicalWorks, saved once a month or as often as you like. The app reads the files you save and keeps patient records on your PC.