Denial Management

Denial Management Services

Boost your revenue collection by identifying & overturning underpayments and wrongful claim denials. Several factors have impacted the revenue generation tendency of the laboratories including; ICD-10 implementation, DRG shifts, re-implementation of local and national coverage determination (LCDs and NCDs) when combined with increased payor requirements, uplifted a nationwide trend of increasing claim denials. We help practitioners to combat all of these challenges and step towards greater productivity and leveraged scalability of their business.

Strategies to Maintain Claim Denials In Healthcare Industry

Maintain Workload On Practitioners

Claim denials impose increasing workload on practitioners in order to trace, rectify, and resubmit the denied claims. The dilemma became clearer when it was revealed that most of the healthcare organizations never addressed these claim denials. Climbing denial rates are significantly hurting the bottom line for several healthcare professionals all around the country. Our denial management specialists provide efficient denial management services to generate better outcomes.

Provide Effective Billing Services

We provide all-in-one denial management solution through insightful Laboratory Billing Services to identify and mitigate the reasons to reduce claim denial rates. We help your organization to meet its financial goals. Our dedicated team would ensure steady cash flow and profitable revenue cycle management with reliable denial management services. Our claim denial management services include analyzing, identifying, and resolving key problems that obstacle claim success rate. We classify those problems on cause & source and align our Lab Billing Services in the direction of mutual business success.

Improved Cash Flow

Enhance your clean-claims rate, maximize reimbursements and prevent revenue loss with reliable and proficient assistance in appealing the claims. We aggressively follow-up with each claim, mitigate the causes of denials and improve cash flow. If claims are not followed rigorously then a huge amount of revenue is lost between the cracks. Therefore, we engage with your claim submission process from information collection till reimbursement of your services. We streamline your medical billing operations for faster appeals and improved cash flow while lowering the cost of managing denied claims and the administrative burden. Do more with less stress!

Have A Primary Objective

It is the primary goal of our denial management experts to resolve underpayments while reducing regulatory risks to keep your financial performance optimum. Partner with us to acquire intelligent solutions for denial management in order to break new grounds. Our vision for smart denial management services is to help healthcare providers become highly efficient at saving their practice from further revenue loss. We help practitioners to recover their millions of outstanding dollars and manage their medical business with innovative solutions. Find an advanced, innovative, and reliable support to achieve your financial goals and advance your journey to the future of success.

Strategies to Improve Medical Business

Sophisticated Rules Engine

We define advance payer rule engines to prepare reimbursable claims, catch the denial activity, and comply with federally mandated guidelines.Ensure value-based services with innovative billing solutions.

Clean claims

It is one of the highest priorities of our organization to increase the clean claim rate to simplify the transactional complexities between practitioners and payers.

In-Depth Analytics

It is highly crucial for potentially profitable Laboratory Billing Services to conduct in-depth analytics in order to recognize the standard triggers which cause claims denials instantly.

Medical Clearing House Solutions

Before submitting the electronic claims to payers, our lab billing experts scrub the claims for any incorrect data to evaluate the claims against payer-specific rules.

Automated Appeal Management

Our autonomous solutions for lab billing services enable us to process manual appeals management processes faster and ensure a seamless workflow for effective denial management.

Lower claim denial risks and raise returns in your divestiture strategy with the help of the right Laboratory Billing partner. Learn how Laboratory Billings provide future-ready medical billing services to transform your business process.