- Extended Business Office
Effective Denial Management and Prevention Services
Denial management services serve as an indispensable pillar in upholding the financial vitality of healthcare organizations. Across the intricate landscape of the revenue cycle management process, claim denials emerge from multifaceted processes, presenting a critical hurdle to cash flow and overall revenue health. Managing and rectifying denied claims stand as imperative concerns for healthcare entities, aiming to mitigate revenue losses. Our specialized denial management services offer a comprehensive approach, delving deep into the complexities of claim issues. This process not only identifies but also presents an invaluable opportunity for resolution, enabling healthcare organizations to recover lost revenue efficiently.
For sustained operational success, it’s paramount for healthcare organizations to proactively address front-end process intricacies, thus averting potential denials in the future. AnnexMed, renowned for its robust methodologies and industry-best practices, extends a tailored approach to bolster revenue cycle management, emphasizing our expertise in denial management services. Explore the underlying causes behind every claim denial and fortify your organization’s financial health by leveraging AnnexMed’s wealth of experience in crafting effective denial management strategies. Let us guide you toward a more resilient revenue cycle through proactive denial management services tailored to meet your organization’s unique needs.
Denial Management capabilities include:
Validate
Eligibility
Retro
Authorization
Provider
Credentialling
Aggressive
A/R Follow-up
Service Highlights
- Denied claims examined for reasons with POA
- Resubmission of corrected claims
- File appeals with/without documentation
- RCA done to trend denials by payer, etc
- Front-end claim corrections to reduce denials
- Prevent future denials with our best practices
Benefits
- 25% reduction in AR days/ 8% higher collections
- Drive denial rates below 4% industry practices
- 24- 48 hrs. quick turnaround time
- Measure success via denial trending/ AR reports
- Fixing and preventing claim denials is our priority
- Dashboard reporting – Denial analytics
Achieve Measurable, Proven Results
Costs Reduced
upto
DNFB Reduced
upto
Reduction in DNFB accounts
Improve Productivity
upto
Reduction in AR
upto
36%
Improved Collections
upto
98%
Reduce Denials
upto
Decrease in denial rate
Frequently Asked Questions
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