Denial Management
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Denial is one of the biggest worries for physicians, doctors, and other healthcare professionals.
Any hospice can easily experience initial denial rates of around 10% of its claims, although a standard best-practice recommendation is to hold the denial rate to 5% or less. Such denial rates could often lead to losses for many establishments from which recovery will be challenging.
- We have excellent experience scrutinizing the data to identify the reasons for all refusals.
- Besides analyzing and tracking denials, we identify and recommend fixes for denied claims, and we find and implement process improvements to eliminate recurring denials and boost revenue.
- We have a multispecialty team that can analyze denial information and, as a group, review trends, determine which classifications to address first, and discusses their solution.