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