Denial Management

When charges are not paid the first time billed, it becomes more difficult to get the claim paid. Claims denied the first time billed are 25-40% less likely to ever be paid. The reasons these claims are not being paid need to be sorted out. Tracking and summarizing reasons for denials have to be performed. This information has to be used to make changes in the coding and billing process so claims are paid on the first attempt. When this evaluation of explanation of benefits is done by experienced personnel, the results of corrections can be phenomenal. This service we provide is one of the most crucial to reducing days in the accounts receivable.