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.