MINIMIZE CLAIM DENIALS AND SUSTAIN REVENUE CYCLE
Billers must do a root-cause investigation, take steps to address the identified flaws, and then file an appeal with the payer to successfully appeal refused claims. To survive, a healthcare company must constantly fix the front-end procedures issues to avoid repeat denials.
MINIMIZE CLAIM DENIALS AND SUSTAIN REVENUE CYCLE
Billers must do a root-cause investigation, take steps to address the identified flaws, and then file an appeal with the payer to successfully appeal refused claims. To survive, a healthcare company must constantly fix the front-end procedures issues to avoid repeat denials.
WHAT’S INCLUDED
Along with boosting cash flow, we also assist in determining the core reason for any denial and putting in place preventative measures to avoid future denials.
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Classification of Denials
Once the reason and cause of rejection have been identified, the claims must be separated and routed to the appropriate departments. Sorting denials by category will assist in identifying areas that need to be addressed and the need to re-educate employees and medical personnel to reduce denial rates. -
Calculate the Eligibility of Patients
Our specialists gather data on the patient’s insurance coverage and eligibility. This phase must be completed with zero margins for mistakes to avoid any errors, which might lead to denial in subsequent steps.
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Services for Making Appointments
We’ve put up a simple appointment booking & reminder service that will help you keep your calendar filled and prevent no-shows by utilizing a multi-channel strategy that combines phone calls, emails, and live chat. -
Determining the Roots of Denial
It’s critical to pinpoint the regions that lead to claim denials and the fundamental pattern that underpins them. This might entail a re-evaluation of the entire charging process. This method may identify the issue zone, resulting in fewer denials and a higher rate of successful claims.
THE PERKS
Provide a single, on-demand view for all users to manage all elements of claim denials and re-submissions.
01
Manage the denials of all payers’ claims.
02
Reduce first denial rates to less than 4%, which is the industry standard.
03
To assess the impact of process improvements, provide important trending reports.
04
Ensure that all HIPAA technological security and privacy requirements are met.
05
Provide high-quality services at a low cost with a short response time.
