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  • 3652 Chamblee Dunwoody Rd, Atlanta,GA - 30341
  • Mon to Sat 9:00am to 06:00pm
Our Services

Denial Management

Instead of focusing solely on managing denials, prioritize strategies aimed at preventing them. Denial management involves identifying and resolving issues that cause medical claims to be rejected.
Key Benefits

What is Denial Management?

We recognize that each denial situation is unique. Denial Management Systems are specialized software tools designed to help healthcare providers handle claim denials from insurance companies. Before resubmitting a claim, all clinical data is carefully reviewed. As part of our supplemental billing services, we collaborate with you to assess denied claims and work to progressively lower the denial rate. When insurance companies reject or partially pay health insurance claims, it can lead to lost revenue and inefficiencies in the billing process. By tracking trends, we can pinpoint registration, invoicing, and coding errors, correcting them to prevent future denials.

Denial management is a strategic approach aimed at identifying and resolving the root causes of claim denials. The goal is not only to address existing issues but also to reduce the likelihood of future denials, ensuring quicker payments and a steady income stream for your practice.

A denial management system helps analyze the reasons for claim rejections and suggests ways to improve the claims submission process. This enables healthcare providers to decrease the number of rejected claims and improve financial stability.

This white paper equips you with the knowledge to identify and address the underlying issues that lead to insurance companies denying claims.

Key Advantages

Benefits of Denial Management

BENEFIT 01
Advanced Software Tools

Software tools assist healthcare providers in managing insurance claim denials effectively.

BENEFIT 02
Clear Rejection Management

There is often confusion between claim rejection and denial management. Claims are rejected due to errors that need to be corrected.

BENEFIT 03
Understanding Denial Types

Hard Denials are irreversible and can result in lost or reduced revenue. Soft Denials are temporary and can be overturned if the provider corrects the claim or provides additional information.

BENEFIT 04
Denial Code Analysis

Insurance companies use denial codes to indicate the reasons for rejecting or reducing payment for medical expenses.