Denials are an epidemic to the financial health of most practices, and they have a need to be treated well in order to get you financial success. Almost more than 10% of the physician revenue is estimated to be lost due to lack of denial management process.
Billers in our association are experts in denial management analysis. This helps in preventing denials and revenue losses in the first place. But if you do have denials from the past then let them be handled by our Billers and Coders and see them getting paid easily.
The process of Denial Management has only one key – ANALYSIS, once the root cause of denial is figured, correcting it and getting paid for it is not a task. The skill of a specialist is required to get the perfect analysis into a claim.
Our billers are specially trained to recover the collectables from
- Worker’s compensation
- All other major payers like BCBS, Aetna, Cigna, UHC, etc
Denial claims also require “Appeals” – Appeals are requests and explanation of the claim sent earlier and conditions on which the claim now is again eligible for payment.
Some appeals are time sensitive. Our Billers review your most commonly denied claims, prioritizing both for volume and dollar value and file them in a timely manner.
Considering the cost of appealing claims (both in terms of time and money) also helps our billers decide whether they must appeal the claim at all. So they will not appeal every claim but know the fact that many practices lose great sums of income every year because they don’t appeal denied claims.