WebDMEMR Denial Management

Denial Claims Management Services

Hire Denial Resources

WebDMEMR Denial Claim Management Services

At BillingParadise we go the extra mile dealing with denial cases, we believe that for the sustenance of revenue cycle profitability, an efficient denial management team holds the key. Any gap in denial management jeopardizes financial stability. As a care provider, preoccupied in providing the highest level of patient care, your organization can partner with us for end-to-end revenue cycle management or critical AR and Denial Management functions.

Billing Paradise with a certified team of billing and coding professionals guarantees significant improvements to your cash flow and revenue cycle.

Our proven experience in AR and Denial Management will generate greater income, minimizing denials and lost reimbursements, and maximize your efficacy gathering unpaid claims. We are committed to get you the highest possible return on investment.

Methodical Approach for Denied Claim Resubmission

As a first step for a successful claim resolution perspective, the denial management team will identify the reasons for the denial. The general practice followed by payers is to indicate the reason for denial, when adjudicated claims are returned unpaid.

The claims adjustment reason codes (CARC) as explained in an accompanying remittance advice remark code (RARC) are carefully scrutinized by the denial management team. All errors are diligently corrected, and the denied claims are resubmitted. We use online tools to create the best case argument for appeal. These consist of specialty-organization briefs that are specific to procedures, payer rules and guidelines. National coverage and local coverage determinations, besides template letters for specific appeal types are used denied claim resubmissions.

No matter how time consuming the process, our efforts are to improve the bottom-line of a practice.



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Our Denial Management Service Highlights

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All denials are routed to the denial analysis department. Denials are segregated into line item and full denials

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DenialAnalyzer, our denial management and reporting app, gives you realtime insights

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All claims are categorized into different follow-up groupings.

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We work with all federal and commercial payers and have strong knowledge of their payment mechanisms

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Redundant processes are automated. This cuts back on cycle times. Recover money faster.

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Software that identifies, isolates, quantifies and categorizes denials to help you lower your denial rate and spot revenue leakage sources.

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Hire denial resources for your organization now.

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

WebDMEMR Denial Management Workflow

This is what sets us apart

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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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The BillingParadise difference…

Now you need never miss a single cent! Our denial management experts view the ERAs/EOBs posted in the patient advisory screen of webDMEMR.

Our core webDMEMR denial management team consists of…

  • Claim analysis team
  • Trend analysis team
  • Denial Prevention team
  • AR management team
  • And financial planning team

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 !


WebDMEMR Denial Management using Robotic Process Automation

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

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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

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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

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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%

Get paid Three times faster with our 24/7 medical billing services.

Work with medical billers who understand your EHR's billing process backwards and forwards

Avail Free RCM Audit Worth $2,000! Check out 19 different KPI reports that stops your cash flow.