Minimize Claim Denials and Sustain Revenue
MedBillingExperts has over 10 years of experience in handling denial management needs of healthcare providers from the largest health systems to independent practices. Leveraging this experience, we have designed a carefully crafted workflow that lets us drill through the data and uncover the root cause of all denials. Once we understand the issue, we create a detailed report that highlights new as well as recurring reasons for denials for individual categories such as physician, payer, diagnosis and CPT. Based on this information, we implement process improvements that eliminate denials and optimize revenue.
We Help You Better Manage Denials. Here’s How
- Help healthcare providers recognize opportunities to identify and correct issues that cause claims to be denied by insurance providers
- Classify denials by source, reason, department, and other distinguishing factors to simplify the denial management process
- Implement innovative denial management strategies that engage patients and physicians to effectively appeal and reverse unsubstantiated denials
- Develop and evaluate different denial management strategies for effectiveness and efficiency
- Ensure up-to-date knowledge of the different windows that different third-party payers require to file insurance claims to prevent future denials
Our End-to-End Medical Denial Management Process
Identifying Key Denial Reasons
Our claims denial management service starts with identifying the key reasons for denials
Categorizing Denials
This step not only enables us to monitor and route denials to the appropriate department for remediatione
Establishing Tracking Mechanism
Once we categorize the reasons for denial, we get to the business of developing a tracking/reporting mechanism
Monitoring and Preventing
In this stage we make sure that all claims are monitored and assessed to prevent repetitive revenue leakage.
