SERVICES
Denial Management
Precision in Every Claim, Excellence in Every Resolution
At AccuBilling, revenue is mission critical and we go above and beyond to help you fetch every dime. Our business framework is designed to streamline administrative and clinical operations, ensuring maximum returns at Industry’s lowest cost. It doesn’t just end there, we empower you to make data-driven decisions that significantly help you improve profits and patient engagement.
At AccuBilling, we love a good challenge and hence passionately pursue and resolve Aging AR, from the low-paid ones to even the ones that seem “uncollectible”.
Our Advance Claim Review System, comprised of root cause analysis, robust reporting and integrated recovery mechanism helps us turn rejections into reimbursements, all while minimizing future denials and ultimately amplifying acceptance rate to an impressive 99%.
Advance Claim Review System: Unearthing Missed Revenue Opportunities
Rejected claims can be indicative of a process breakdown disguised as missed opportunities. At AccuBilling, we employ an outcome-driven approach to address and settle these claims:
Systematic Evaluation:
Identifying the underlying cause of every single rejected claim and not just the “low-hanging fruits” or high value ones
Prioritizing Claims:
We categorize unpaid claims, assigning high priority to the aging ones so that reappeal expirations are avoided. Every claim is allotted to specialists who take corrective measures in the allocated order.
Submitting Reappeals:
Submitting a persuasive and professional reappeal addressing specific reasons of denial and including additional supporting document to present a stronger case.
Monitoring Appeal Status:
Tracking the progress of every appeal with additional follow-ups in case no consensus is reached within the stipulated time frame. This ensures that no opportunity to overturn denials is missed.
Integrating with Other Systems:
We use an integrated approach to streamline denial management with other functions such as electronic health record (EHR) system, billing, coding, etc. This helps us further reduce the scope of errors in claim submission.
Predictive Analytics:
Comprehensive data and reporting allow us to use predictive analytics in anticipating potential denials before they can even happen. This prevents future revenue leakage and results in continuous process improvement.
Reporting and Analysis:
Documenting the topmost denial causes and best practices to resolve them. Paying great attention to detail and assigning higher accountability to clean claim submission, leading to a higher first pass yield and better revenue inflow in the future.
Advance Claim Review System: Unearthing Missed Revenue Opportunities
Rejected claims can be indicative of a process breakdown disguised as missed opportunities. At AccuBilling, we employ an outcome-driven approach to address and settle these claims:
Identifying the underlying cause of every single rejected claim and not just the “low-hanging fruits” or high value ones
We categorize unpaid claims, assigning high priority to the aging ones so that reappeal expirations are avoided. Every claim is allotted to specialists who take corrective measures in the allocated order.
Submitting a persuasive and professional reappeal addressing specific reasons of denial and including additional supporting document to present a stronger case.
Tracking the progress of every appeal with additional follow-ups in case no consensus is reached within the stipulated time frame. This ensures that no opportunity to overturn denials is missed.
We use an integrated approach to streamline denial management with other functions such as electronic health record (EHR) system, billing, coding, etc. This helps us further reduce the scope of errors in claim submission.
Comprehensive data and reporting allow us to use predictive analytics in anticipating potential denials before they can even happen. This prevents future revenue leakage and results in continuous process improvement.
Documenting the topmost denial causes and best practices to resolve them. Paying great attention to detail and assigning higher accountability to clean claim submission, leading to a higher first pass yield and better revenue inflow in the future.