Denial Management Services
Denial Management Services
Denial management is a critical aspect of a health Revenue Cycle. With insurance companies denying an average of 9% of claims submitted, maintaining a healthy cash flow requires healthcare organizations to prioritize addressing root causes and implementing denial prevention strategies.
FIRSTVERTEX'S PROCESS EXPERTS ARE STANDING BY!
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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:
Just as each patient is unique in the care provided, each denied claim is also distinctive. Access Healthcare employs a systematic, hands-on approach to ensure each claim receives the necessary attention for a swift resolution. This method adheres to a strict systematic approach and defined best practices, ensuring maximum results and improved efficiency in collections.
ANALYSIS
Each claim is analyzed and researched by a First Vertex associate to determine the best course of action.
WORKFLOW: Prioritize claims systematically based on payer, amount, age of the bill, or other business rules to ensure the maximization of benefits.
PREVENTION
Improve the health of your practice and prevent future denials with suggestions for process improvements.