Clinical denials often hold their own set of unique challenges due to the need for clinical knowledge paired with an understanding of patient financial services and billing expertise. This creates complexity due to various departments needing to work together in order for the claim to get paid.
Our staff of nurses, billers, and legal experts work as an extension of your team to successfully manage and reverse clinically-denied claims. Our team can help navigate denials and increase collections. We are equipped with a complete understanding of payer requirements to help with the processing of these claims and the appeals process.
We work diligently to identify the root cause and determine process improvements to reduce volume. Our goal is to alleviate the administrative frustration caused by these claims, increase reimbursement and lower the overall amount of clinical denials.