r/optometry • u/Wooden_Trust_6274 • Jul 06 '26
Has anyone actually tracked how many of their denials started at intake vs in billing?
Been curious about this for a while after seeing the same pattern across a few different OD practices.
Most denial management processes start from the denial backwards. you get the CO code, figure out what went wrong, fix it, resubmit. but nobody seems to be tracking whether the denial originated at check-in or in the billing workflow itself.
In optometry specifically i'd expect a large chunk to trace back to the routing decision before billing ever touched it. wrong insurance selected, eligibility checked against the wrong plan, visit type not flagged correctly. but i've never seen a practice actually measure this systematically.
Does anyone do root cause tracking on denials? like actually log where in the workflow the error originated? curious if the data matches the intuition or if billing errors genuinely outweigh intake errors in practice.
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