CARC Management and Denial Analysis (Table of Contents)

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• CARC Management & Denial Analysis Overview

  CARC Management and Denial Analysis Overview CARC Management & Denial Analysis Reporting CARC Management and Denial Analysis provides the ability for Clients to identify, categorize, and manage their CARC codes and report on Denials. Using CARC ...

• ERA Management Profiles, Rules, and CARC Crosswalk

  The System-delivered ERA Management Profile includes 22 Rules for ERA Payment Posting. Additional ERA Profiles must be created to add new Rules based on the Insurance or Billing Group. Events override any Rules that are created. Add a New ERA Profile ...

• CARC Management Denial Rules

  CARC Management Denial Rules Modify a Default CARC Denial Rule There are limited changes that you can make to a System Delivered Rule, but a New Rule can be added to the CARC to define Exceptions. Libraries > CARC Management Select the CARC Edit ...

• Denial Analysis Overview

  The Denial Analysis Report provides high-level reporting based on the CARC Management Setup. You can identify and categorize meaningful denials by setting up CARC Denial Rules. Preventable or Non-preventable denials: CARC codes can be designated in ...

• Denial Analysis Reporting

  Denial Analysis Reporting This Report provides high-level reporting based on the CARC Management Setup. You can identify and categorize meaningful denials by setting up CARC Denial Rules. Data Type Date of Service Post Date Billed Date Top Denials To ...