BillingParadise offers cost effective solutions for denial management services. Backed by an experienced denial management team, our prices are structured to suit your revenue recovery needs.
Our expertise in denial management has a great impact on an organization’s revenue recovery. We ensure that for every service provided, health organizations receive appropriate payments.
No matter how big or small your denial management needs, we have the means to take care of every denial scenario. Our cost-effective process will identify and correct errors to recover every lost dollar you are owed. We are committed to enhance your denial management process to get your cash flows rolling again, and boosting your revenue cycle.The certified coders of our denial management team follow the best practices for accurate and consistent coding of diagnosis and procedures. We believe these are the mainstay of a successful compliant practice, including denial management.
The professional denial management team of our company is aided by a customized financial dashboard that can be integrated with ColloborateMD. It includes important billing analytics and reporting tools, which are specific to denial management.It gives the team a clear visual access to important denial trends and patterns, based on which solutions are found, errors corrected, and claims resubmitted.
Each member of the denial management team spend time understanding the denied claim, utilizing their long experience, all errors are identified and corrected, and resubmitted to the payers, most of which are deemed payable by payers, with cash beginning to flow into providers accounts.
With top certified coding professionals processing denied claims, providers can spend more time making patient care their top priority.
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
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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 collaboratemd.
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.
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Hire one/combination of services/all, we at BillingParadise will meet your needs 100%