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My Claim Was Denied!: Navigating Insurance for Adult Day Care

New York -- July 19, 2024

Many adult day centers are independently owned and provide a service for their community. And often with these small businesses, manual systems are put in place. There are a few reasons for this. One being that these informal processes are all right for a small business with a few clients. Also, many small business owners might not know their options or put into place workflows with the intention to upgrade but don’t because of the daily grind of running a business. However there are other options that will provide a stronger foundation for an adult day care center to grow and protect it from excessives fees and claims denials. 

 

Claim denial for adult day care centers can be a frustrating experience. We have spoken to prospective clients about this experience, and they are all looking for methods to prevent claim denial. Claim denials happen for a multitude of reasons for adult day care centers. Perhaps there was a mistake in reporting, during check in, or some other clerical error. This can happen with adult day care centers, and it can cause fees, delays, and frustration. 

 

One factor is documentation errors within preparing the claims report. Having claims returned will cause some more time delay, and the longer it takes for the claim to be filed the harder it is to be reimbursed. This can be frustrating as many adult day care centers are reliant on these benefits. Mistakes in the check in process can also cause problems for adult day care centers. Insurance requires for every visit to be verified and many adult day care centers do this task manually. Then the center staff will upload that into their system. If there is an error in this process, it can cause claims to be denied or returned. 

 

Daycenta is a cloud based platform that performs these tasks electronically. With the automated reporting, expedited billing and accounting services, and electronic check-ins and care plans, adult day care center owners can rest assured that these tasks are performed with accuracy and efficiency. Daycenta serves to make the day to day management of adult day care center seamless, so that owners can focus on delivering the best care to their clients. Using Daycenta is ensuring that the claims are paid out properly and to keep the center running smoothly. Adult day care centers that use Daycenta are creating a sustainable future with simplified systems guaranteed to keep the center running smoothly.

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