About Our Healthcare Denial Management Company in Philadelphia
Medical billing experts of our company help your practice in navigating the complexities surrounding reimbursement denials. We investigate the reason for every denied claim and give our 100% focus on resolving them. After thorough investigation, we send appeal letters and help you get unpaid claims successfully. We assist medical practices in preventing denials effortlessly.
Our Insurance Denial Management Services
Denial Management Team
Root-Cause Analysis
Monitoring Denial Management
Denial Management Software
Benefits of Hiring Us Â
Improved Cash Flow
We rapidly deploy solutions that solve the denied claims issue right from the start and result in removal of obstructions cash flow to your practice. Enhanced and unobstructed revenue streams strengthen your financial results and stabilize your clinical practice.Â
Happy Physicians
Medical practices run effectively when providers are happy and receive reimbursements on time. Hiring our professionals creates an environment of harmony between administrative staff and physicians. This leads to quality-centric patient care making them happy as well, leading to best clinical outcomes.
Cost Containment
The most prominent benefit provider can easily extract by using our solutions is future cost containment related to denials. They can predict and control errors in claims that lead to denial on priority and save their practices from financial bankruptcy.
Actionable Insights
We offer a practice analytics report that enlightens physicians on their practice’s performance. Total cases of claim submissions, number of denials, filing of appeals and administrative output can be checked and remedial actions can be taken pre-emptively for better output.
Enhance Documentation Practices
With our assistance medical practices can enhance their precision and accuracy in documentation of the patient claims. It also further bolster tracking claims, code added and provider’s remarks about the patient and treatment required.Â
Less Reliance on Non-Skilled Staff
Choosing our billing master team ensures you rely on our expertise than untrained in-house staff. Since the majority of denials and low collections are caused by in-house team’s mistakes and overlooking, we prove ourselves as valuable assets for medical practice’s growth.
Who We Serve?
Our medical billing company in Philadelphia offers its best and finest denial management solutions to all medical specialties working as private solo practice, group and hospital setups. Here is the list of healthcare establishments that we cover under the domain of claim denial management.
Solo Private Practices
Group Practices
Hospitals
Free-Standing ER
Understanding for Providers on Various Types of Denials
It is imperative for healthcare professionals to understand the far-reaching effects of insurance claim denials. The following are types of insurance denials that your healthcare facility may face and our team will help you in tackling them efficiently.
Claim Rejection
Insurance claim rejection is due to improper filling of a patient's claim. A mistake such as invalid code, wrong demographic detail, incorrect provider’s NIP, or non-inclusion of provider’s information in payer’s system may cause such rejections. Our quality assurance team double checks each entry and makes sure a claim is accepted at first submission.Â
Hard Denial
A hard denial makes a reimbursement difficult due to mistakes that can relate to a variety of reasons. Challenging these decisions is futile and requires a technical team that has years of experience in resolving such cases. Our experts offer their services to get you reimbursed on render services provided to patients.Â
Medical Necessity Denial
Many providers and their practices receive medical necessity denials and it revolves around procedures that’s considered unnecessary by insurance companies. Our medical billers are thought of as Heroes by clinicians due to providing extensive documentation to payers in justifying the performed procedures as necessary steps for saving a patient’s life.Â
We perform prior authorization for all encounters and procedures relieving your practice from future financial burden of appeals and delays.
Technical Denial
Technical denials are due to non-compliance in following insurance company’s claim form submission guidelines. These cases may relate to incorrect diagnosis and treatment codes, missing clinical documents and non-covered expenses, etc. Our denial experts appeal for such cases and after thorough due diligence they resubmit claims that are expedited in due time.Â
We have an unmatched team of experts that stays up-to-date with all contracted insurer’s policies, their guidelines and standard procedures. This allows us to overcome any financial turmoil coming your way such as claim denials, rejections, etc and serve you with the best solution.
Major Specialties We offer in Denial Management
Why Choose Us As Your Denial Management Partner?
- 72% Decline in denial rate
- 70% Productivity improvement
- 50% Reduced operational costs
- 46% Reduction in aged A/R
- 42% Reduction in DNFB accounts
- 99% Achieve net collections
- 12+ Years of experience
- Suitable for 60+ medical specialties