Healthcare Denial Management

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Denial Management in Healthcare

We have a proven track record to deliver the Best Denial Management in  Healthcare and achieving the highest payment collections from insurance companies. Our Medical Billing Processes ensure the regular claims follow-up to collect every collar from insurance companies.

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Insurance Credentialing Service

Our Payer Credentialing Service includes the paperwork and/or electronic application filing through CAQH, PECOS, and Others to get contracted with insurance companies.

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Healthcare Web Design

Our HIPAA Compliant Physician Web Design Service includes website designing and maintenance with Secure Sockets Layer (SSL), Full Data Backup, and Encryption.

Best Denial Management in Healthcare

  • Error Free Claim Submission

    Every claim is being checked through Software Based Claim Scrubber to ensure that it is created according to the billing rules, claim completeness score and accuracy at the highest level and then submit the clean claim to the insurance company.

  • Payments and Denials Management

    Payments are being posted from Paper Remittances (EOBs) and Electronic Remittances (ERAs) for processed claims to bill patients. Identify the pending non-payment claims to categorize into the different groups to start working on getting claim status.

  • Insurance EDI Enrollments

    Identify the insurance companies who have EDI Setup capability, prepare the EDI Enrollment Forms, get them signed by the Physician to receive the ERAs into the Practice Management Software to improve claim payment turnaround.

  • Follow-Up with Insurances

    Calling to the insurance companies to check the current status of claims, checking online provider portals, using fax-back systems, IVRs, and batch level status request through EDI Vendors, and requesting the re-processing of wrongly denied claims.

  • Denial Management Reporting

    Generating status level reports for all unpaid claims, update payment for paid claims and bill to the patient, finalize the report and send it to the healthcare professional to review the denied claims along with recommendations to avoid denials.

  • Fee Schedule Management

    Identify the Under-Paid Claims, Less Paid Claims, Review the Insurance Contract and Fee Schedule, Cross Verify with Medicare and other commercial insurance fee schedule, and send recommendations to revise the CPT charges to get paid at a higher rate.

Stop Losing Money and take the advantage of a Cost-Effective Medical Billing Service to work on your Practice and Collect Every Dollar from the Insurance Companies. Schedule a Call today to learn more about how we can help!

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