Denial Management

Medenar Healthcare is a well-known supplier of healthcare services and medical billing.

Denial Management

Medenar Healthcare is dedicated to minimize lost reimbursements and denials with highly efficient systems and services designed to meet our clients’ needs. One of the major problems faced by healthcare providers and medical billing companies is that a large proportion of denied claims goes unattended and is never resubmitted. Denied claims and lost revenue ought to be a major concern for healthcare organizations.

For Enquiry

Medenar’s Denial Management process uncovers and resolves the problem leading to denials and shorten the accounts receivables cycle. Our claims denial management process provides an understanding of the claim’s issues also an opportunity to resolve the issues. Medenar’s best practices and methodology improves your revenue cycle management, including the denial management process.

Appeals for denied claims

For claims that are denied and need to be appealed, appeal letters are prepared and sent along with supporting documents including medical records for processing. If the insurance permits telephonic or fax appeals, the same is also handled through those channels.

Patients follow-up

Medenar has a separate team of executives dedicated to calling only patients. Calls are made to the patients to obtain missing demographics, insurance information and also discuss outstanding patient dues. Each patient account is meticulously tracked and followed-up by our trained and experienced staff till the payment is received. Processes are clearly laid out involving sending letters, statements, notices, making phone calls, act to expedite collections.

 

Service Highlights

  • Denied claims examined for reasons with POA
  • Resubmission of corrected claims
  • File appeals with/without documentation
  • RCA done to trend denials by payer, etc
  • Front-end claim corrections to reduce denials
  • Prevent future denials with our best practices

Benefits

  • 25% reduction in AR days/ 8% higher collections
  • Drive denial rates below 4% industry practices
  • 24- 48 hrs. quick turnaround time
  • Measure success via denial trending/ AR reports
  • Fixing and preventing claim denials is our priority
  • Dashboard reporting – Denial analytics