Are Denied Claims Affecting Your Bottom Line?
We Identify the Root Causes of Your Denied Claims
Our team evaluates your denied claims to identify specific causes of denials. Here are a few examples of our most common findings:
- Eligibility Expiration
- Plan Coverage Limitations
- Lack of Referral
- Change in Network Coverage
- Data Entry Mistakes
- Missing Prior Authorization
- Coding or Billing Errors
We Create and Implement Process Improvements
We offer customized process improvements, including training, to resolve the issues causing claim denials. You cannot improve while continuing the same processes. Change is key.
Key Performance Indicators (KPIs)
We help you set KPIs so you can:
- Measure Progress and Success
- Focus on Goals
- Enhance Employee Morale