Denial Management - Payment Integrity Service

Denial Management/Payment Integrity Service

We employ a payment integrity team that is devoted to streamlining your organization’s denials management process. This team offers in-house expertise across the denial spectrum. Through utilization of comprehensive reporting and root cause analysis, we define the what, why and where of denials. Then, we leverage this data through education to drive organizational change and revenue recoupment.

Claims are prioritized by timely filing, date and dollar amount, though high impact claims receive top priority and focus. We categorize claims by clinical, coding or technical denials and create, submit and follow-up on appeals. Through our data collection and comprehensive analytics, we identify the revenue impacting trends and help your organization drive contract payer changes.