Allscripts Denial Claims Management

Denial Claims Management Services

Hire Denial Resources

    AllScripts Denial Management Services

    Denial Management is one aspect of Revenue Cycle Management, which very few health organizations pursue with extreme diligence. It needs to be understood that failure to efficiently work denials from insurers eventually results in lost revenue.

    BillingParadise with a certified team of billing and coding professionals identifies the root causes of denials to manage it with great efficacy. Every aspect of denial management workflow is closely monitored to ensure that the stalled cash flow of the organization is successfully restored.

    The denial management team through advanced analytic tools classifies denials by reason, source, cause and other discernible factors. Denial management strategies are effectively developed and assessed.

    In accordance, the team implement these strategies, which at times requires patients and referring physicians to be engaged, for setting up an effective appeal to reverse unfair denials.

    Using proactive and time tested techniques with best practices, we successfully turn the corners managing denials to facilitate a healthy bottomline.

    In our long association with health organizations, we find that their denial response workflow never takes off immediately as soon as they learn about the payers decision. Possibly, because of non-availability of a dedicated denial response team. This delay results in appeal deadlines being missed.

    BillingParadise, through its dedicated efforts organizes and expedites the management of denial management cases. We follow a methodical workflow, for example, if we come across code related denials, these are automatically routed to our certified coders, who swiftly work on them, before they are resubmitted to the payers. Our streamlined denial management workflows have restored the cash flows of many healthcare organizations, and improved their bottom line.



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Our Denial Management Service Highlights

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.

Know more about Our Denial Software

Hire denial resources for your organization now.

Hire denial resources, Assign daily work, Track productivity, Reduce repeated denials & Improve cash flow.

Allscripts Denial Management Workflow

This is what sets us apart

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Workflow BillingParadise

Your Denial Provider

Stats

Before 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 Process

Losing 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 Trends

Quantify 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 hours

Whenever 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 quantity

Our 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 progress

This 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.
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We Go Beyond Denials…

Our denial management and reimbursement specialists work hand-in-hand to resolve the denial conundrums through a multi-faceted approach:

  • Understand denials through denied claim crosswalks
  • Locate the source of flaws in the claim
  • Pass-on the claim to suitable coding/billing rectifier
  • Proof-check the final claim, attachments, appeal letter, etc.
  • Appeal or re-submit the claim within the stipulated time
  • Make rigorous follow-ups
  • Ensure whether the reimbursement is matching the payer contract.
  • We'll get you paid – the highest, on-time, every time…

Money is Money – There is No Zilch or Zillion!

You may think that taking the bull by the horns is difficult if it comes to the denial management and claim appeals. But, our denial management experts know the ropes of the denial resolution process and we'll effortlessly transform your denied superbills into dollars.

Our RCM experts, reimbursement specialists, claim auditors, compliance officers are well acquainted with the payer policies and thus, we could assure you with a payer audit-proof reimbursement.

Succinctly, our brains are programmed to track claim denials and perk-up your practice's success rate for claim appeals.

    BillingParadise's Denial Management helps you:

  • Dwindle down denials and pertinent write-offs
  • Recognize denial trends and rationales
  • Ramp-up cash flow and payment recuperation
  • 24/7 to resolve your claim queries
  • Accomplish HIPAA compliance
  • Get fool-proof reimbursements. So, no audit retrievals
  • Streamline workflow to mitigate lost revenue
  • Improve productivity and profitability

Specialized Support

An answer for your every need

Billing & Collections

BillingParadise has helped several Epic users brush aside their billing hurdles and run a more profitable practice, inline, with regulatory guidelines.

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Coding

Coding

Medical coding is becoming increasingly complex. An average coder, who assigns codes without in-depth analysis can do your practice more harm than good. Epic users can now code right!

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EMR Support

We take care of your front end and back end revenue cycle processes. Right from appointment scheduling and eligibility verification to claim analysis and denial resolution, our Epic revenue cycle management services, have you covered. We help you leverage and extract the most out of the staff, technology and workflow of your medical practice.

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Old AR

AR calling is more than just making calls to insurers and leaving home at six. You need AR callers who are persistent, informed and quick.We work with Epic users every single day and offer flexible, practice specific support.

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RCM Services

Optimize the many moving parts of your revenue cycle with BillingParadise’s Epic revenue cycle management services. Our certified revenue cycle specialists will improve the compliance and performance of your Epic RCM processes.

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Specialty Focused RCM Services


We have specialized teams of medical billers and coders who hold speciality specific certifications to handle your billing and coding tasks

BillingParadise Is A Paradise For Billing

- Theresa, Laima OB GYN

Service Suite Tailored To Your Needs

Skilled Personnel

BillingParadise employs trained personnel to manage your claim denials. All claim reworks are done in the fastest way and are always inspected by our in house quality auditors before resubmission.

Foolproof System

At BillingParadise we have designed our Denial Management Operation workflow to be streamlined and highly productive. We ensure that your denials are reworked correctly and on time.

State-of-the-art Tech

BillingParadise provides you the most optimized and cost effective software.The DenialBridge is a turnkey software solution. Easily deployable, seamlessly scalable & can be maintained & updated.

Hire one/combination of services/all, we at BillingParadise will meet your needs 100%

Service Suite Tailored To Your Needs

Skilled Personnel

BillingParadise employs trained personnel to manage your claim auditing needs. All claims are thoroughly audited and quality checked before the bills are sent for reprocessing. Batches of claims are diligently checked for incorrect codes/errors/missing information before sent for processing.

Foolproof System

At BillingParadise we have designed our audit workflow that produces quality centric audit reports the fastest way possible. Auditing and recovery occur simultaneously, and reports are produced based on your necessity. Every flaw is flagged & rectified in tandem. The entire workflow is streamlined and optimized.

State-of-the-art Tech

BillingParadise provides you the most optimized and cost effective software.The ClaimBridge is a turnkey software solution. The software is automated and analyzes claims in batches. Easily deployable, seamlessly scalable & can be maintained & updated. Our tech helps you conserve your valuable resources and boosts your revenue.

Hire one/combination of services/all, we at BillingParadise will meet your needs 100%

Service Suite Tailored To Your Needs

Skilled Personnel

BillingParadise employs trained personnel to manage your eligibility denials. This service is made available for you to avoid such denials. Verifications are done by our specialists prior to services rendered. Every criteria from pre-certification to patient due is checked and thoroughly verified.

Foolproof System

At BillingParadise we have designed our eligibility verification workflow to be streamlined and highly productive. We ensure that all information regarding your patients current eligibility status is made available to you the instant you require it. Eligibility checks are done in batches and are also made available to you on demand.

State-of-the-art Tech

BillingParadise provides you the most optimized and cost effective software. The software can cross-integrate across payor systems and offers you complete interoperability for you to keep track of your patients eligibility status. Eligibility checks are done on demand or through scheduled batches. Hire us and avoid eligibility denials permanently.

Hire one/combination of services/all, we at BillingParadise will meet your needs 100%



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