Denial Management

This step in combination with AR Follow up has the greatest potential to eliminate revenue leaks but if handled inattentively will erode the profitability of your practice. NO VALID CODE GOES UNPAID! We will never write off a code without written proof that the denial is valid from the highest regulating authority and that this is agreed to by you the doctor. Remember over 60% of all denied claims are never challenged! We will challenge every denial.

Knowledge and Experience

Our experience with payers and how they handle claims enables us to keep the AR balances of our doctors under %5. We have a dedicated team of AR Follow up personnel that have a documented set of policies and procedures that ensure that no valid code goes unpaid. They will keep you in the loop every step of the way from rejection to appeal letting you know if the payer intends to pay or not and what are next steps are until you get paid or you tell us to write off the code.

Your Control and Our Communication

We have a documented set of procedures for handling each type of rejection that are optimized for claims. At the start of our relationship we will review them with you and make modifications if required. This gives your office complete control over the entire denial and appeals management process. We won't write off a code unless we get your approval and we won't come to you with a code to write off unless we have exhausted the appeals process.

Applied Technology

Our AR follow up module in our billing software , a HIPAA compliant 128 bit encrypted, password protected web based solution provides you with a user configurable account receivable report that allows you to drill down from aging buckets into an individual claim with it's complete claim history.