Denials

In working claim denials, we understand that each claim denial is unique and requires focused efforts to resolve the issue. At Access Healthcare, we bring strong capabilities in A/R and denial management.

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