Denial Management Services
Denial Management is one of the most important pieces of a health Revenue Cycle. When insurance companies are denying an average of 9% of claims submitted, in order to ensure a health cash flow, healthcare organizations need to focus mainly on root cause and denial prevention.
Every medical practice experiences claim denials.
It’s how those denials are handled that sets exceptional healthcare organizations apart from the rest. However, dealing with claim denials can be a time consuming task and can take a medical practice’s attention away from what matters most.
Denial management is a critical element to a healthy cash flow, and successful revenue cycle management. Leverage Access Healthcare to quickly and easily determine the cause(s) of denials, mitigate the risk of future denials and get paid faster.
Focus on What Matters
Healthcare organizations get paid to make people feel better, and not to run around dealing with insurance companies and tracking down why a claim is denied. Leverage Access Healthcare’s systematic best practices and proven methodology to bring excellence to your revenue cycle management, including the denial management process. Glean insights into why claims are denied, learn how you can avoid denials going forward, and get paid faster.
A SYSTEMATIC, HANDS-ON APPROACH
Each patient is unique when it comes to the care you provide so each denied claim is also unique. Access Healthcare uses a systematic, hands-on approach to ensure each claim receives the attention it needs to be resolved quickly, while also adhering to a strict systematic approach and defined best practices. This ensures maximum results and improved and efficient collections.
ANALYSIS
Each claim is analyzed and researched by an Access Healthcare associate to determine the best course of action.
WORKFLOW
Prioritize claims based on payer, amount, age of bill, or other business rules to ensure maximum benefits.
PREVENTION
Improve the health of your practice and prevent future denials with suggestions for process improvements.
Did you know 90% of claim denials are preventable? Stop leaving money on the table.
Talk to our team today!
Story Spotlight
Objective
Find and capture savings
The customer needed to improve overall cash flow and enable easier, more simplified access to revenue. It was imperative to discover the levels of inefficiency through a comprehensive assessment and raise levels of efficiency in other areas burdening financial growth.
Solution
In approximately 30 days, Access Healthcare service experts conducted a comprehensive assessment of the organization’s AR footprint. A summary of the assessment concluded substantial opportunity to improve cash flow in multiple areas totalling $10 million.
Contact us to learn how your organization can leverage Access Healthcare’s Denial Management Services.
