Denial Management Services

22

Years of
Experience

10+

Industry
Verticals

5000+

Experienced
Professionals

Trusted by 600+ Companies

Outsource Denial Management Services to the Expert

We have been delivering denial management services since 2000. We provide customized services tailored to unmask and resolve problems leading to medical claim denials. Whether you need assistance with identifying and addressing the root causes of your denials, help with filing appeals and resubmitting claims, or claim rejection analysis, we've got you covered. Our services include denial analysis and identification of root causes, claims resubmission and appeals management, coding and billing audit of denied claims, coordination with insurance companies and payers, training, and education on denial prevention and management, and development and implementation of denial management strategies.

We use the latest technology and industry best practices to deliver high-quality services to improve your bottom line. Our goal is to help you reduce denials, increase revenue, and improve your financial health. We also help you mitigate the risk of future denials, ensuring that your medical practices get paid faster and enjoy a positive cash flow. In addition, our services identify areas that could be improved and prevent denials by educating, communicating, verifying insurance at prior stages, knowing the payers, accurate documentation, and from past mistakes.

Our Comprehensive Denial Management Services

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Denial tracking and analysis

Appeal preparation and submission

Follow-up and escalation with payers

Root cause analysis and process improvement

Training and education for staff and providers

Data analytics and reporting

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The Invensis Advantage for Denial Management Services

Improved Cash Flow

Our denial management services reduce claim denials, shorten payment cycles, and improve revenue, resulting in improved cash flow for your business.

Improved Claim Accuracy

We help improve claim accuracy by identifying and correcting coding errors and missing information in the claims

Improved Compliance

Our services identify and address compliance issues, ensuring adherence to regulations and payer requirements, resulting in improved compliance.

Enhanced Data Analysis

Our denial management services analyze claim data, identify patterns and trends, and provide insights to improve revenue through data-driven decisions.

Enhanced Revenue

We identify and resolve claim denials, increase reimbursement rates, and improve cash inflow, resulting in enhanced revenue.

Better Patient Satisfaction

Our services ensure timely and accurate claims processing, leading to faster reimbursements and better patient satisfaction.

Step-by-step process for Denial Management Services

Invensis - The Most Trusted Denial Management Services Company

As an experienced denial management service provider, we have a proven track record of delivering high-quality denial management services to clients across various industries. Our services are offered to hospitals, physician practices, and other healthcare organizations. Our commitment to providing excellent customer service, quick turnaround time, and adherence to industry standards have earned the trust of its clients. Our clients hail from the US, Canada, Australia, and the UK.

22

Years of
Experience

10+

Industry
Verticals

5000+

Experienced
Professionals

3x

Increase in Point-of-Service
(POS) Collections

95%

Clean Claim Rate
(CCR)

80%

Reduction in Accounts Receivable
(A/R) Days

40%

Reduction in Cost to Collect
expenses

75%

Improvement in
Issue Resolutions

Expertise and Experience: Outsourcing denial management services can provide access to specialized expertise and experience handling denials. This can include expertise in coding, billing, and appeals processes, which can improve the efficiency and effectiveness of denial management.
Improved Cash Flow: Outsourcing denial management and resolution services can improve cash flow by reducing the time it takes to resolve denials and recover denied claims. This can also help healthcare organizations reduce accounts receivable days and improve revenue cycle management.
Cost Savings: Outsourcing claim denial management services can help healthcare organizations save on costs by reducing the need for additional staffing, training, and software. This can also reduce the cost of denials by improving the success rate of appeals and reducing the amount of time spent on denied claims.
Scalability: Outsourcing denial management services can provide scalability to healthcare organizations by allowing them to adjust the level of service as needed. This can help healthcare organizations manage peaks and valleys in the workload and adjust staffing accordingly.
Technology and Tools: Outsourcing denial management and resolution services can provide access to the latest technology and tools for denial management, which can improve the efficiency and effectiveness of the process. This can include access to automated denial management software and analytics tools for identifying trends and patterns in claims data.
Compliance: Outsourcing denial resolution services can help ensure healthcare compliance with regulatory requirements by providing access to specialized expertise in regulatory compliance. This can include expertise in HIPAA, Medicare, and Medicaid regulations.

The following are some of the trends in denial management services in medical billing that are currently shaping the healthcare industry:

Use of Artificial Intelligence (AI): AI is being used to automate denial management processes, making them faster and more efficient. AI can analyze vast amounts of data, identify patterns, and provide recommendations to prevent denials.
Focus on Prevention: Claim Denial management services are increasingly focused on preventing denials before they occur. This includes analyzing claim data, identifying potential issues, and taking corrective actions to avoid denials through claim scrubbing.
Integration with Revenue Cycle Management (RCM): Denial management services are being integrated with RCM software to provide a comprehensive view of the entire revenue cycle. This allows healthcare organizations to identify areas for improvement and optimize the revenue cycle for better revenue recovery.
Collaboration with Payers: Healthcare providers are collaborating with payers to understand the reasons for denials and develop solutions to prevent them. This includes working with payers to establish clear communication channels and improve documentation requirements.
Emphasis on Data Analytics: Claim Denial management services increasingly rely on data analytics to identify trends and patterns in claims data. This allows healthcare organizations to address issues and prevent future denials proactively.
‍Improved Training and Education: Healthcare organizations invest in staff training and education to improve their understanding of denial management processes. This includes educating staff on the importance of accurate documentation, coding, and billing practices.

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What Our Customers Say

We have been working with Invensis for the past two years, and they have helped us overcome many revenue cycle management challenges. The team often walks the extra mile to ensure that our needs are met.

Christina Sussex

Leading Healthcare Provider in France

Invensis has been our revenue cycle management healthcare outsourcing partner for the past 5 years. They have always delivered on their commitments, whether it is meeting our Service Level Agreement (SLA) or improving our billing process.

Christopher Middleton

Leading Healthcare Company in US

Invensis has been a great partner providing quality medical coding and billing services. The team is extremely responsive to every query we pose, and the turn-around time for deliverables is always as committed.

Chris Lauren

Leading Healthcare Company in US

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