We, at ZOE RCM, know that denial analysis and management is a critical part in a healthcare organization. Analyzing data to better handle denials is our specialization. Our experienced and proactive team of experts works towards a common goal, looks into your remittance advice to identify the root causes of denials, relentlessly follows up on the denials, zero pays, claim reversals and meticulously works on them until the claim is resolved.
Most often than not, incorrect data is the cause, and this is where we stand out from the crowd. We ensure that we chart every code according to the denial type and responsibility by using the right software. Benefit from our expertise and reach out to us today.
PROCESS:
- Segregating and sorting claims
- Routing claims to respective departments
- Reconfirming patient eligibility based on their insurance cover
- Appeal letters sent with supporting documents including medical records
- Diligently pursuing till resolution
Denial Management Services:
- Identifying reason for each denial
- Analyzing denial trends and patterns to prevent future denials
- Sharing process reports to measure denials
- To reduce the cost to collect
- To enhance the account collections
- To reduce manual work and effort involved in checking denial errors
- Regular tracking of denials
Benefits of Denial Management Services:
- Reducing lost revenue and improving cash flow
- Increasing long-term efficiency
- Eliminating future losses and optimizing profitability
- Streamlined approach that makes denial management hassle-free
- Maintain a healthy revenue cycle
- Monitoring payment pattern of payers to understand cause of claim denials
- Improving profitability of the practice long term
- Delivering full security and privacy with HIPAA compliance
- Providing best quality services at cost-effective rates
- Accelerated TAT
- Trained professionals providing best-in-class support system