Denial Management/Payment Integrity Service

RevCycle+ employs 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; and then leverage this data, through education, to drive organizational change and revenue recoupment.

  • Prioritizes claims by timely filing date and dollar amount; focusing on high impact claims first
  • Claims categorization based on clinical, coding or technical denials 
  • Appeals creation, submission and follow-up
  • Data collection and comprehensive analytics to identify revenue impacting trends. The information gathered will help facilities drive contract payor changes

Key Reporting: 

  • Data collection and comprehensive analytics to identify revenue impacting trends
  • Information gathered will help your organization drive contract payor changes