We have deployed a sophisticated Denial Processing solution at our Global delivery center. This solution captures all your claims, payments and denials. Our solution utilizes an integrated, multi-disciplinary approach to address your denial management issues and enables us to develop an effective denial management plan and a customized strategy for your organization.

As part of this service, we have seasoned MBAs and Doctors based at our delivery facilities in India who follow a well defined process to smash administrative denials like an unwanted internet pop-up advertisements. Some of the key steps we take in this direction include:

• Continuously update denials database
• Identify root causes of denials and address these denial trends
• Provide feedback to the Coding & Billing team
• Utilize denial data to customize reports
• Provide you with inputs to review managed care agreements to prevent denials
• Identify opportunities to collaborate with payers to avoid denied claims
  Help implement a payer accountability program
• Consult with your key team members to collect substantiating information for filing appeals
• File Appeals with Payers

Outcome:

• Improved cash flow
• Increased revenue