Denial Management
Denial Management
We proactively manage denied claims by tracking, categorizing, and appealing them efficiently to minimize revenue loss and improve clean claim rates over time. Our approach focuses on resolving current issues and preventing future denials.
Root Cause Analysis: We identify and analyze common denial patterns to address underlying issues such as coding errors, eligibility gaps, or authorization problems.
Standardized Appeals Process: Our team uses well-crafted, payer-specific appeal templates, supported by thorough documentation, to maximize overturn success rates.
Payer Policy Monitoring: We stay current with evolving payer guidelines and policy changes to ensure ongoing compliance and reduce preventable denials.