Denial Management

Claims Resubmission - We promptly address and resubmit denied claims, ensuring accurate coding, attaching recovered clinical documentation, and correcting patient or insurance details. Regular follow-ups guarantee timely resolution.
Denial Prevention - We prioritize denial prevention by consolidating reasons, analyzing top issues, and collaboratively addressing them with the revenue cycle team. Education across the board is crucial for effective denial prevention.
Correspondence and Appeals - We review payer websites for appeal formats, draft appeal letters, and include necessary clinical documentation for denied claim reprocessing. The documentation is then sent via fax/mail, with ongoing follow-ups.

Patient Demo and Registration

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Insurance Verfication

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Medical Coding

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Charge Entry

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Billing/Claim Submission

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Payment Posting

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Denial Management

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