Our services can help your healthcare business by identifying and resolving billing and coding errors, reducing claim denials, and improving your revenue cycle management. We specialize in providing comprehensive and customized solutions to meet your specific needs. Here is the list of steps we follow to streamline your business:
- Create a standardized process for analyzing denials to ensure consistency and accuracy in analysis and help to identify recurring issues that can be addressed.
- Keep a record of all denials, including the reason for the denial, the date of the denial, and the amount of the denied claim.
- Prioritize denial analysis based on the amount of money at stake, the frequency of the denial, and the difficulty of resolving the issue.
- Monitor progress in resolving denials and track success rates to identify areas for improvement and to make adjustments to your process as needed.
- Implement a robust prior authorization process to reduce claim denials due to a lack of pre-authorization.
- Regularly review and update your policies and procedures to ensure compliance with current regulations, payer policies, and coding guidelines, thereby reducing the risk of denials due to non-compliance issues.