Denial Management
Services
In 2021, out of 291.6 million claims lodged there were 48.3 million denied claims which represent nearly 17% of in-network claims.
With diligence, nearly two-thirds of rejected claims can be recovered leading to an improved revenue and cashflow for your practice. The key to success remains knowing the root cause of the denials and adhering to the payer requirements.
Our team helps your practice recover the maximum in denied claims.
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A denied claim can cause significant harm to the financial health of your practice. The best strategy to deal with denials is to devise a strategy which aids in the avoidance of a denial in the first place.
With our deep routed knowledge in handling denials, we understand the origins of denials and help you with improving your claims denial ratio through a ‘decision tree’ approach.
Our core focus under this service is to
- Understand and analyze the underlying reasons for denials
- Identify trends, patterns, and opportunities to prevent future denials
- Improve and improvise on the claim preparation and submission process
- Conduct periodic process audits
- Measure and monitor the submission to reimbursement ratio
Some denials are destined to occur no matter how diligently the claims are reviewed before submission. With the right knowledge and expertise, the denied claims can be relodged after taking necessary corrective actions.
We help your practice by timely taking corrective actions and rigorous follow-ups with Payers to ensure minimal to no revenue leakages.
Our core focus under this service is to
- Inspect the route cause for every denied claim
- Strategize on resolving the issue
- Prioritization of claims
- Revalidation of all clinical information or supplying additional information
- Relodging the claim with the Payer
- Maintaining aggressive follow up with Payers for full reimbursements
Most denials are recoverable however the process of recovery consumes many man hours. By being well versed with the denial appeal process of Payers, we can save you time and achieve a higher probability of recovery.
Our experts in this area work closely with closely practice to
- Establish appeal legitimacy
- Gather necessary information and documentation for the appeal
- File the appeal with the Payer at the required level(s)
- Follow up and adhere to the process deadlines
avail the benefits
We have helped transform the Revenue Cycle Management for multiple medical practices across the US.
With our Denial Management Services you can expect to
Improve clean claim submissions with accurate information capture
Beat the industry average with reduced cases of denied claims across your practice
Save time for more patient care by passing the administrative hassle to us
Witness a marked improvement in your collections to maximize revenue
Develop and adopt a tailor made proactive denial management strategy
Speak with our representatives today and discover the difference we can make for you.
Services
100% HIPAA Compliant
Support
24/7 Quality Support
Accuracy
98% Clean Submissions
Success
99% Client Retention
Explore more from
Our full suit of revenue cycle management services
Credentialing
Ease the complexities of provider credentialing. Our experts manage initial applications, renewals, and verifications, ensuring your practice stays ahead of potential reimbursement roadblocks.
Medical Coding, Billing Documentation and Account Receivable Management
Every procedure and diagnosis is coded correctly, leading to accurate claim creation and submission thereby compensating your practice timely and accurately for every service rendered.
Demographics, Eligibility Verification and Prior Authorization
Our coherent demographics, eligibility verification & prior authorization procedures ensure seamless checks before administering services, thereby decreasing claim rejection probabilities.
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When you decide to go with MAARS as your billing partner, you’ll receive more than just a service provider – you’ll have a partner that works to ensure the financial health of your practice.
Here are some benefits to look forward to:
- Increased Revenue
- Time and Resource Savings
- Improved Accuracy
- Compliance Assurance
- Peace of Mind