Our Services
Denial Management Services
Minimize Denials & Boost Revenue with Professional Denial Management Solutions Enhance your reimbursements with our effective denial management solutions. We directly address claim denials to boost your practice’s cash flow.
Denials and Appeals Management Services
- Facilitate the successful appeal of denied claims.
- Use our proficiency in examining payer adjustment codes found in remittance reports.
- Includes case management and utilization review.
- Leverage our knowledgeable staff to advocate for you with payers.
- Receive assistance in resolving underpayments related to contract, policy, or documentation interpretations.
Payer Audit Services
- Capitalize on our expertise in disputing Medicare notifications.
- Address various commercial and government payment audits.
- Depend on our team to coordinate medical chart reviews and adhere to appeals deadlines.
- Reduce the administrative burden on staff in patient financial services, case management, and health information management.
Continuous System Editing and Workflow Maintenance
- Keep your team updated on regulatory changes.
- We’ll assess and implement payer bulletins to inform your staff.
- Receive training sessions to encourage a proactive stance toward denial management.
- Get ongoing editing maintenance, workflow adjustments, and system updates.
- Confirm that your claim submissions are in accordance with the latest updates on payer compliance and regulatory modifications.
Comprehensive Denials Management Process Reporting
- Obtain valuable insights and suggestions based on trends.
- Tackle the root problems leading to denials to prevent similar incidents from happening in the future.
- Leverage comprehensive reports on denial and underpayment issues when negotiating with payers.
Key Elements of Our Denial Management Service
Identify
Spot opportunities to correct or amend the issues leading to claim denials by insurance companies.
Manage
Classify denials by reason, cause, origin, and other contributing factors.
Monitor
Keep an eye on the root causes and develop effective denial management strategies.
Prevent
Introduce preventive measures and additional post-denial strategies to successfully appeal and resolve unjust denials.
Solution That Fits Your Business Needs
Top Denial Management Strategies We Implement
- Classifying Denials
- Determining Reasons for Denials
- Preliminary Auditing of Claims Prior to Submission
- Prompt Resubmitting
- Utilizing Denial Management Software
