One of the most wearisome experiences a medical practice faces is getting denied on insurance claims. It has physicians, administrators, and patients waste precious time, first filing the claim, only to realize that the payer has denied the claim.
The frequency of denials further adds to the distress, it has physicians diverting their valuable time reworking the claims, at the cost of depriving patients their one hundred percent attention.
BillingParadise with an experienced certified team, dedicated exclusively for denial management, has served the needs of practices for more than a decade. We use an automated denial management system to fill the gaps between claim denials and the stalled cash flow of the practice.
The automated systems minimise the impact of denials, recovering hidden revenue by top causes and sources of denials. The tool hierarchies denials that present possibilities for quick revenue recovery, also methodically assessing the influence of denials on the bottom line of an organization.
The tool also has the capability of appealing claims with the same payer in bulk, after the cause of denials are determined. Complex bills needing an expert intervention by a billing supervisor can also be isolated and segmented separately.
Advance reporting is an indispensable feature of our automated systems, we begin processing denials with ‘root cause analysis’ to help determine the trends in denials. The reporting tools also help us share insights with the front-end billing teams, notifying them the reasons of denial, so that upstream billing and claim filing do not have inconsistencies.
BillingParadise with an efficient team of denial management specialist has successfully alleviated the denial management needs of leading health organizations, greatly improving their cash flows and bottom line.
All denials are routed to the denial analysis department. Denials are segregated into line item and full denials
DenialAnalyzer, our denial management and reporting app, gives you realtime insights
All claims are categorized into different follow-up groupings.
We work with all federal and commercial payers and have strong knowledge of their payment mechanisms
Redundant processes are automated. This cuts back on cycle times. Recover money faster.
Software that identifies, isolates, quantifies and categorizes denials to help you lower your denial rate and spot revenue leakage sources.
This is what sets us apart
||Your Denial Provider|
StatsBefore we delve into processing denied claims, we need to know the initial denial rate, dollar rate, and claim rate. This will help us lower denial rates, and improve the process.
Organized ProcessLosing track of the denied claims will lead to diminishing revenue. If the number of denials keeps increasing, it will lead to revenue loss and severe administrative problems. Thus, an organized denial management process can help track all claims, using HIPAA certified tools and technologies.
Denial TrendsQuantify and categorize the denials by tracking, evaluating and recording the denial trends. We consult your physicians and payers for information. This helps reduce claim denials and improve compliance. We also use data and analytics to collate and find reasons for claim denials, and identify core issue to rectify them.
Completing denials within 24 to 48 hoursWhenever a claim is denied, we follow a validated process to get the denial corrected, preferably within 24 to 48 hours. This is made possible by following an established workflow which will track the claims as they enter and leave your system.
Quality and quantityOur 24 hours active resources enable us to provide resolution through analysis and calling. This helps segregating quality claims, while eliminating claims that do not need to be resubmitted. .
Tracking the progressThis is one of the most important aspects of denial management. It helps to know which areas are doing well and which need further improvement. Both the wins and losses will be documented for future analysis and improve the systems efficiency. Automating denial management processes also give plenty of time to rework on rejections.
Now you need never miss a single cent! Our denial management experts view the ERAs/EOBs posted in the patient advisory screen of Webchartnow ehr.
We have an extensive payer rules checking engine that checks claims against payer rules.
We follow a cross functional strategy to analyze and categorize claims based on reason for denial and rejection pattern.
As our denial management support is available 24/7 you can be sure that the window never closes on any claim.
We are just around the Conner. Click here to have our Regional RCM Expert come down to your office immediately to get all your questions answered !
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