A/R and denial management solutions help you maximize reimbursements and minimize collection costs...
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Time is money. The success of a healthcare organization is directly correlated to the efficiency and effectiveness of its accounts receivable and denial management processes. Using our decades of experience, we can significantly improve your company's cash flow, reduce accounts receivable days, and decrease unwarranted write-offs.
We analyze your accounts receivable portfolio to identify potential risks and opportunities for improvement. We can also streamline your accounts receivable processes, increase your collection rate, and help you recover lost revenue. With our help, you can unlock the full potential of your accounts receivable. We also provide advice on credit control and collection strategies, as well as offer credit management services.
Financial stability and margins is directly affected by issues with A/R. It helps identify the adjudication status of a claim submitted and helps in understanding the claim reimbursement. A/R management is important after claim submission and crucial for financial stability. In the event of a denial, early notification will help correct the claim at the early stages and prevent it from becoming 'untimely' for appeals or corrections.
Within a short period of time, we will analyze your financials, ensure that errors are identified, and implement efficient processes for collecting payments and clearing backlogs of unresolved A/R.
There is an average claim denial rate of between 5% and 10% in the healthcare industry. Most providers regard these denied claims negatively impacting revenue and draining resources. This impacts significantly but many providers don't realize. There are up to 65% of denied claims that are not corrected or resubmitted, despite the fact that 63% of denied claims are recoverable. This money is lost. This loss of revenue can be detrimental to a provider's bottom line. Providers must invest in denials management processes to ensure that denied claims are not lost. In addition, denied claims cost providers time and money, as they require manual review and additional paperwork. Furthermore, denied claims can lead to negative patient satisfaction, as they often lead to delays in payments.
In order to increase payment recovery, we implement an effective denial prevention strategy and dedicate a dedicated denials team to help identify the root cause of denials, rework them, file appeals if necessary, and resubmit them.
We can help you achieve a good resolution rate on high dollar accounts receivable with our systematic approach. Our approach includes
Analyzing EOBs and system notes in-depth before calls
Analyzing accounts receivable and generating ad-hoc reports and dashboards for denials
Allocation and prioritization of work based on claim age, claim value, payer category, etc.
An analysis of the reasons for denials as well as trends in denials
The collection process is handled professionally by a team of dedicated professionals
Reengineering as well as providing relevant solutions for healthy accounts receivable
We're committed to helping you optimize your accounts receivable and denial processes by tracking critical KPIs.
Including many others...
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We offer a 2 week free trial so that you can see our work for yourself, experience the ease of outsourcing, and ensure you are getting exactly what you are looking for.
We are highly rated by our clients
