Increase your revenue with our denial management services. We resolve claim denials effectively to improve your practice’s revenue.
With proper denial management, you can recover missed payments and maintain financial stability.
Providers can improve billing accuracy, refine procedures, and reduce the chances of future denials by using denial management to find trends and frequent mistakes.
It also ensures adherence to guidelines set by insurance companies and regulatory authorities that reduce risks and maintain compliance.
We start by identifying and organizing all denied claims. It involves reviewing electronic remittance advices (ERAs) and Explanation of Benefits (EOBs) to identify denials and understand their causes.
Once we categorize the denials, we conduct a detailed analysis to find the reasons behind them. It includes checking coding accuracy, verifying patient eligibility, and ensuring proper medical necessity documentation.
After identifying the issues, our skilled team takes action to resolve them. Whether it’s correcting coding mistakes, submitting additional documentation, or addressing errors, we work on your behalf to resolve the claims.
For claims requiring appeals, we draft detailed appeal letters with clear arguments supported by clinical documentation and relevant regulatory guidelines to advocate for your payments.
Beyond resolving denials, we review patterns to improve processes. This includes training staff, enhancing documentation quality, and refining patient eligibility checks to reduce future denials.
We provide custom denial management strategies to meet the requirements of healthcare providers to maximize reimbursement rates.
We consistently deliver outstanding results by maintaining strict industry compliance and focusing on client satisfaction.
Accurate and efficient claim processing leads to faster payments, which improves the experience for patients.
Our denial management process discovers key trends and patterns in claim data that empower providers with actionable insights to increase revenue.
QUESTIONS AND ANSWERS
We follow strict data security procedures and HIPAA guidelines. Our team uses secure systems to protect patient and practice data.
The time to resolve a denied claim depends on the complexity of the issue and the response time of the payer. Some denials may be resolved within days, while complicated ones could take weeks. We always try to resolve claims as efficiently as possible to improve your cash flow.
Claims are denied due to various reasons, including incorrect coding, missing or incorrect patient information, failure to meet payer requirements, insufficient medical necessity documentation, or eligibility issues at the time of service.
We provide services to various healthcare providers, such as hospitals, physician practices, outpatient facilities, and specialty clinics. Our specialities are raddiology, cardiology, internal medicine, urgent care, more. We customize our services to each specialty's requirements.
Effective denial management services can recover lost revenue by resolving denied claims and reducing future denials. It improves your cash flow and reduces the need for additional administrative resources.
Let Us Help Your Business To Move Forward.
