Denial Management
Mitigate Denials & Improve Your Reimbursements
Mitigate Denials & Imrprove your Reimbursements
Denial Management to Denial Mitigation
Industry averages report that more than 15% of all claims are denied, rejected or underpaid. Out of all the claims denied, research shows up to 65% of them are never reworked. This in turn leads to loss in revenue for the services already rendered. An efficient denial management process can address this issue effectively, resulting in appropriate reimbursement, a profitable revenue cycle and bottom line. Partnering with RCM Workshop will bring you the best denial management system and processes. We help medical practices – small clinics to large physician groups, urgent care centers and DME suppliers streamline their revenue cycle process and provide access to a knowledgeable team that effectively resolve denial claims and proactively addresses repetitive errors to reduce denials.
Our Best Practices
Our team ensures that our clients get paid faster and appropriately by providing efficient claims denial management solutions to resolve and address the root cause of every denied and rejected claim. We emphasize continuous improvement through denial trend analysis and optimizing the process accordingly. The following is a list of steps taken to effectively resolve and prevent future claim denials.
- Categorize denials by payer, amount, and reason code
- Contact payers and patients for additional information
- Correct claims and submit appeals promptly
- Track appeal status proactively
- Analyze denial trends and provide feedback to prevent future denials
Performance Measurement
Our analytics and performance measurement tools helps us keeping track of claims – paid or unpaid, reasons for denial or incorrect payments and status of accounts receivables. We provide you regular update on various metrics as agreed with you during process transition or thereafter in a transparent way.
- Turnaround time to submit appeal
- Denial resolution efficiency – Time & Collection
- Claims denial rate
Benefits
Outcomes Guaranteed
Our Denial Management services extend a multitude of benefits to your business fulfilling your revenue objective and ensuring financial health of your practice.
Improved collections and
cash flow
Reduced AR and aging
Reduced denial rates
Improved denial resolutions
Improved efficiency in
revenue cycle
Improved patient satisfaction
WHY US?
Why partner with us
Our team will work as an extension of your current setup and collaborate with you to fulfil your revenue objectives. While you focus your core patient care services, our dedicated team of billing experts will handle the tasks involved in revenue cycle to ensure maximum reimbursement. We pride ourselves on delivering exceptional results, providing regular updates on our process performance and quality metrics through our partnership. Our proactive approach ensures that the entire process is professionally managed and monitored to deliver quality outcomes that will benefit your organization. Don’t miss out on optimizing your revenue cycle – collaborate with us today for exceptional outcome.