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Denial Review & Management

Denial Review & Management is a critical element to a healthy cash flow, and successful revenue cycle management. Leverage MedFix to quickly and easily determine the cause(s) of denials, mitigate the risk of future denials, and get paid faster. We work actively on the provided turnaround time of 24 hours which help to regenerated cash flow & reduce risk of Insurance Timely filling limits.

Nothing is more important to revenue cycle profitability than to have a highly efficient team for accounts receivable, day’s sales outstanding and denials management. You can count on us to bring you valuable net returns. Outsourcing to us will fetch your practice with greater income, minimizing lost reimbursements by maximizing your effectiveness in collecting unpaid claims.

While posting installments from EOBs/ERAs; all dissents are settled and the legitimate move is made utilizing the remark codes set of rules on the EOBs/ERAs. This helps a great deal to limit the accounts receivable in the healthcare industry to a maximum extent. Our specialists are vigilant and experienced to efficiently work on denial resolutions that truly help define astounding medical billing services for our customers.

We try to get maximum data and keep a tab on the amount to be reimbursed. We believe in providing the best denial management services by using compatible software and appropriate methods.

A better approach – We at MedFix, follow a simple and streamlined approach that makes denial management hassle-free and also improves the revenue cycle.

Regular tracking – We keep track of the denials and execute claim rules to edit and stop the denial claims.
Timeliness – We provide a timely statistic to management which helps in preventing denials.
Constant monitoring – We monitor the payment pattern of payers which helps understand the cause of claim denials.
Long-term benefits – We analyze the effectiveness of denial resolution which helps in the long run.

Why Denial Review & Management with us

We Help You Better Manage Denials. Here’s How

Recognize Opportunities

Help healthcare providers recognize opportunities to identify and correct issues that cause claims to be denied by insurance providers.

Classify Denials

Classify denials by source, reason, department, and other distinguishing factors to simplify the Denial Review & Management process

Strategies

Implement innovative Denial Review & Management strategies that engage patients and physicians to effectively appeal and reverse unsubstantiated denials

Develop and Evaluate

Develop and evaluate different Denial Review & Management strategies for effectiveness and efficiency.

Up-to-date knowledge

Ensure up-to-date knowledge of the different windows that different third-party payers require to file insurance claims to prevent future denials

Our Process

Our End-to-End Medical Denial Review & Management Process

Identifying Key Denial Reasons

Our claims Denial Review & Management service starts with identifying the key reasons for denials and finding out the number instances it has happened.

Categorizing Denials

This step is designed to monitor and route denials to the appropriate department for
remediations and preventive actions.

Establishing Tracking Mechanism

Once we categorize the reasons for denial, we focus on developing a tracking/reporting
mechanism for an end-to-end view.

Monitoring And Preventing

Connect with the carrier
or the patient and
additional information

Summry of Denial Review & Management

To identify the reason for each denial

To study denial trends and patterns, and identify the root cause of costly denials

To include process reports to measure denied claims

For a seamless integration of software and efficient workflow to prevent future recurrence of denial

To deal with denials within 72 hours of receipt

To reduce the cost to collect

To enhance the account collections and manage denials efficiently

To reduce manual work and effort involved in checking denial errors

Do you want experts of MedFix to help you?

Our Expert Team will help you with all your needs of Denial Review & Management

Denial Review & Management

Denial Review & Management