Our Services
Denial Management Services
Minimize Denials and Maximize Your Revenue Our denial management solutions help your practice recover lost revenue, reduce cash flow interruptions, and prevent future denials. With an expert team and proven processes, we address claim denials quickly and effectively so you can focus on patient care.
Denials and Appeals Management Services
- Successfully appeal denied claims with the help of our experienced team
- Review payer adjustment codes in remittance reports for accuracy
- Manage cases and conduct utilization reviews
- Advocate for your practice in negotiations with payers
- Resolve underpayments tied to contract terms, policy rules, or documentation issues
Payer Audit Support
- Handle Medicare and commercial audit disputes with confidence
- Coordinate medical chart reviews and meet appeal deadlines
- Reduce the workload on your financial, case management, and HIM teams
- Address both government and private payer audit requests efficiently
System Updates and Workflow Optimization
- Keep your staff informed about regulatory changes and payer requirements
- We’ll assess and implement payer bulletins to inform your staff.
- Provide training to strengthen your team’s denial prevention skills
- Get ongoing editing maintenance, workflow adjustments, and system updates.
- Ensure every claim meets the latest payer and regulatory standards
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.
- Continuously refine your denial management strategies for long-term success
Key Elements of Our Denial Management Service
Identify
Detect issues causing denials and correct them at the source
Manage
Classify denials by cause, origin, and contributing factors
Monitor
Track patterns and develop targeted solutions
Prevent
Implement proactive measures to avoid future denials and improve approval rates
Strategies We Use to Protect Your Revenue
Top Denial Management Strategies We Implement
- Classifying Denials
- Determining Reasons for Denials
- Preliminary Auditing of Claims Prior to Submission
- Promptly resubmitting corrected claims
- Leveraging denial management software for faster resolutions
