Services for Healthcare Denial Management
Organizations lose money as a result of routine claim denials. Discover how we address the underlying problem, submit your appeals, and implement preventative steps to lower claim rejection/denial rates with our end-to-end denial management services. Collaborate with our knowledgeable denial management experts to proactively stop and fix denials.
Outsource Denial Management Services To Med eBilling Access to denial management services
Highly qualified, also certified! Board-certified rejection resolution and management professionals make up our team, and they use their expertise to find, reverse, and eliminate claim denials.
Improve Improve clean claims rate
Acquire approval on your first try! We have a 95% first-pass clean claims rate in the past. We are therefore capable of revising rejected claims and obtaining their approval for complete and expedited payments.
Compliance based resolutions
Physician billing, which is also commonly referred to as professional billing is the act of raising claims against the insurance companies and requesting payments from patients for the medical services rendered by that very physician. This process is not that simple due to the fact that it demands understanding of CPT codes, insurance coverage and even policies of specific payers to avoid any violation that may lead to loss of income.
Increased cash flow
Physician billing, which is also commonly referred to as professional billing is the act of raising claims against the insurance companies and requesting payments from patients for the medical services rendered by that very physician. This process is not that simple due to the fact that it demands understanding of CPT codes, insurance coverage and even policies of specific payers to avoid any violation that may lead to loss of income.
Enhanced patient satisfaction
Physician billing, which is also commonly referred to as professional billing is the act of raising claims against the insurance companies and requesting payments from patients for the medical services rendered by that very physician. This process is not that simple due to the fact that it demands understanding of CPT codes, insurance coverage and even policies of specific payers to avoid any violation that may lead to loss of income.
Our Workflow & Denial Management Process
A very important component of revenue cycle management is denial management. Practices could lose money on one out of every five claims submissions if they do not have it.
In order resolution and complete disclosure are features of MediBill MD's carefully thought-out denial management procedure. These six efficient stages serve as the cornerstone of our operation, helping us identify and stop denials.
Finding the Investigation of Cause
Reading the denial letter (which includes the denial code) and figuring out why the payer denied the claim's reimbursement is the first step in the denial management process.
Checking, verifying, and analyzing
The patient facts are validated, cross-checked, and updated for a clean claims submission if the denial was due to inaccurate or missing information. Discrepancies in the available documents are checked.
Organizing Corresponding Documents
Our professionals ask the provider for the required documents and include them with the updated or revised claim for resubmission if the claim has been denied for lack of paperwork.
Winning the Denial
If the judgment is unfair and the providers have a right to correct reimbursements, they can appeal the denial. To file an appeal and reject the decision, supporting documentation is gathered, such as the medical necessity letter and EOB.
Monitoring Outcomes
The staff checks the status and gets in touch with the payers when the claims are returned and appeals are filed. The revised claims may be approved by some payers in as little as 48 hours, while others may require more time.
Implementing Preventive Plans
Our denial management process concludes with comprehensive audits and the development of denial prevention strategies. To lower the denial rate, procedures are implemented, such as personnel training and process automation.
24/7 ASSISTANCE IN EVERY SPECIALTY
Find out the solutions to all of your questions! With all of our services, Med eBilling provides dedicated customer care 24/7. Across all specialties, our staff is qualified to cope with medical billing and associated issues.