Our denial management services include:

• Denials Processing:
  • Understanding the typical denial reason codes, i.e., both ANSI and payer-specific denial codes
  • Analyses root cause of each claim and files appeals with insurance companies
  • Where appropriate, transferring the responsibility for payment to secondary insurance or patients as appropriate.

• Trending of denials and creating automated workflows
• Denial analysis and underpayment reviews
• Clinical denials – review and appeals. We correct medical codes, provide clinical documentation, and file appeals in payer-specific formats.
• Appeal Templates automation
• Training of clinicians and revenue cycle team on preventing denials
• Focus on denial prevention through root-cause analysis