Denial management is an important aspect in creating a flawless revenue cycle and our staff is proficient in handling claims denial. Working closely with the providers, we quickly identify denials and decide if they are justified by the use of proper codes, lack of client information or supporting documents. Once this is done, we make the right correction to address the problem, and in the process, subsequent claims are correct.
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Denials and Appeals Management Services at Simplifybill
At Simplifybill, we aim to help medical practices boost cash flow and profitability by offering reliable and personalized revenue cycle management (RCM) services. With over 30 years of experience in the field, we specialize in thorough denial and appeal management for clients across the United States.
What is Denials and Appeals Management?
Denials and appeals management involves a team effort by administrative, clinical, coding, and revenue cycle professionals. Denials can put a lot of pressure on a provider’s time and resources, making it a critical part of RCM.
How Denials and Appeals Management Works
The first step in managing denials is identifying where they happen in the revenue cycle and understanding the reasons behind them. Here are some common causes of claim denials:
- The patient doesn’t have coverage for the treatment or procedure.
- The patient wasn’t properly enrolled.
- Missing or incomplete documentation to justify a medical procedure.
- Errors in demographic data.
- Lack of pre-authorization for the procedure.
Benefits of Outsourcing Denials and Appeals Management
Choosing Simplifybill for denial and appeal management comes with several benefits. We can handle high volumes of denials and recover lost revenue efficiently. Here’s what you gain by outsourcing:
- Identify and fix the root causes of denials, improving your clean-claims rate (CCR).
- Lower administrative costs by reducing manual work.
- Resolve underpayments with the help of our expert team.
- Streamline processes for faster appeals, better efficiency, and improved cash flow.
- Stay compliant with regulatory requirements and lower your risk of penalties.
- Enhance your overall RCM performance and financial health.
Minimize Denials with Simplifybill
Denied claims can often be avoided if they are addressed early and effectively. At Simplifybill, we customize our RCM solutions to match your practice’s needs, workflows, and team structure. This allows you to focus on what matters most — taking care of your patients.
Get in touch with us today to learn more about our services or schedule a consultation. Simplifybill is here to help you reduce denials, save time, and improve your financial performance.