Denial avoidance and denial management.

Preventing and Managing Denials

Preventing and Managing Denials More Efficiently   It’s no secret that claim denials can greatly affect the revenue cycle and profit loss. While appeals can be time-consuming and costly, it’s better than receiving no reimbursement at all. However, learning from past claim errors to avoid future denials with permanent revenue cycle improvements is the ideal solution

Claim Denials

Isolating Claim Defects and Denials

Isolating Claim Defects and Preventing Denials with Automated Process Improvements  Errors and defects in medical claims are inevitable. A small percentage of them will eventually turn into a denial. How you handle defects and exceptions, however, can lead to significant dollars being delayed, or lost entirely, due to the additional work being required to collect

Exception Worklists

Exception-Based Work Queues for Improved Efficiency

Automated Exception-Based Work Queues Improve Customer Service, A/R Collections, Denials and Appeals Management  ReMedics utilizes workflow automation technology to automate the creation of exception-based work queues, significantly improving staff efficiency for common Customer Service and A/R functions. These exception worklists and work queues are auto-generated to improve specific areas of need, such as: appeals; denial

Denial Management Reporting

Denial Management and Prevention Strategies

Creating Permanent Change in Revenue Cycle Management… Denials Then and Now In the early days of denial management, the flow of rejected payments or underpayments was typically dealt with as a reactionary defense measure. Using technology to implement denial prevention strategies took a back seat to working denials after they had taken place. For most