Strategies for Preventing and Managing Denials

ReMedics Denial Management business process automation and worklist solutions quickly isolate claim denials and defects. Denied claims are automatically captured, organized, and routed to the appropriate staff, facilitating timely and effective follow-up with third-party payors.

Our extensive data validation processes also help to scrub and cleanse any cash application errors before posting. Using a proprietary technology platform called ReSolve^®, we automatically check for errors, making sure that all required information has been captured and is correct.

Efficient Follow-Up Procedures and Preventing Future Occurrences

If exceptions do occur, they are automatically routed to a client-defined work queue, facilitating timely and effective resolution. Image-enabled worklists allow users to simultaneously view historical billing information, EOBs and correspondence documents to efficiently (and accurately) update records.

ReMedics also provides management with drill-down reporting and analytics to discover the root cause of higher-volume claim defects and reduced payments, preventing future occurrences and profit losses. Our clients can also analyze the effectiveness of their follow-up procedures and uncover hidden trends that can lead to permanent revenue cycle improvements.

Denials can lead to significant dollars being delayed, or lost entirely, due to the additional work and time it takes to resubmit and collect on denied claims. Talk to ReMedics about how we can help to improve your denial prevention and denial management efforts. Contact us online — or call 440-671-7700.