Hospitals in the U.S. spend nearly $20 billion annually on denial management, with an average of $5 million written off due to unresolved claims. In-house solutions often add to administrative costs and delay reimbursements. Outsourcing denial management offers healthcare providers tailored, efficient solutions to recover lost revenue and reduce operational strain.
The team reviews denial codes to identify common causes, compiles a detailed list, and shares the findings with the healthcare provider.
The A/R recovery process reviews denied claims and tracks resubmissions to maximize reimbursements. It handles everything from spotting unpaid claims to resolving payment disputes.
Claim denials can also result from non-compliance with medical billing rules. Experts verify correct coding and resubmit claims according to payer contracts to secure denial reversals.
Claims correction involves reviewing and fixing errors, while resubmission means submitting a new claim to replace the denied one.
If claims are wrongly denied, appeals are filed using documents like EOBs and pre-authorizations to recover payments.
Internal audits identify denial causes, leading to strategies and best practices that boost clean claim rates and reduce future denials.
Not only qualified but certified! Our team consists of board-certified denial management specialists who use their expertise to detect, reverse, and prevent claim denials.
Get approved on the first try! With a 95% first-pass clean claims rate, we expertly rework denied claims to secure full and faster reimbursements.
Protecting your cash flow! Our denial management services boost your net collection ratio by 96%, significantly increasing your practice’s revenue and ensuring steady cash flow for growth.
Healthy practices lead to happy patients! At BillPro Medical, we handle denials and manage your practice’s finances, allowing you to focus on delivering quality care and boosting patient satisfaction.
Let a denial management specialist handle your case! Our certified experts use proven methods to reverse denials and stop revenue loss. Contact us today!