Denial Management Services
Lack of time and expertise in healthcare Denial Management Services are the primary reasons why many providers are failing to resubmit denied claims, leading to a crunch in their cash flow. Denied claims are different from claim rejections. The latter is rejected by clearinghouses due to errors or missing information and not even received by the payors.
A denied claim is received by the payor/Medicare/Medicaid, has been adjudicated, and determined as unpayable. It is essential to have a strategy in place to resolve such claims on priority or outsource denial management services to medical billing companies for timely execution.
We can help you with our Denial Management Services
- Filing an appeal after identifying the cause for denial – preparing appeal letters, attaching clinical documentation, and resubmitting the claims.
- Obtaining any required demographics or insurance information from the patient.
- Analyze denials and their causes for understanding trends, reducing common causes, and establishing better processes.
- Tracking status and following up with the insurance company.
- Incorporating AI for automated follow-ups and reducing errors.
- Billing the secondary insurer if required.
Benefits of Choosing Denial Management Services From Astron EHS
- We focus on getting claims resolved with our expert medical billing staff
- An effective strategy is to get answers from the payor about the denial.
- Following up till the process is complete and payment is received – Full suite denial management services available for efficient RCM
- Many processes in the workflow are automated to reduce errors and deliver faster results
- We revalidate the clinical information before resubmission
- Reports are generated periodically to minimize denials and an overall reduction of days in AR
- Providers witness an increase in revenue by 5-10% with our Denial management services, We can help you overcome denial management challenges!
