Denial & Appeal Management
AMED RCM's professional
team is also experienced and qualified to deal with more Denials and appeals. In general, it can be said that this system defines the most important aspects of the refusal and makes changes that are very pleasing to the payer.
Based on patient input and feedback, our team always believes in better communication with insurance companies, patients and healthcare advisors every day so that we can ultimately easily find the most effective results for you.
If you want to determine the financial resources of the healthcare provider, you can choose to manage denials and appeals and develop better adaptations according to your needs.
Undoubtedly, The Main
The AMED RCM is adept at managing the denial and appeals process, wherein it is capable of scrutinizing and evaluating claims that have been denied, partially paid or underpaid. This involves a thorough analysis of the root causes behind such denials, followed by the implementation of remedial measures to ensure that corrective action is taken. The team regularly engages in communication with patients and insurance companies and responds accordingly to their feedback or reactions. The evaluation of a healthcare provider’s financial well-being may be aided by the adeptness and calibre of services administered by the denial management team.
experienced and competent team that always believes in maintaining a better consistent cash flow. At the same time, this system would allow providers to focus on promoting more effective patient care solutions.
Regardless of your patient’s cash flow and financial resources, you can easily meet with the AMED RCM professional team and share your specific needs with them.
Thanks to years of account management experience, our team is expert in achieving the most favourable collection time possible.
Our trusted Patient
"A satisfied Customer Trust successful cura clinic"
Our Denial Management Solutions
Our denial management experts, comprising seasoned professionals, diligently:
- Investigate the cause of each denied claim
- Concentrate on resolving the underlying issue
- Resubmit the claim to the insurance company
- Initiate appeals when necessary
Initiating Appeals
We scrutinize denial causes, craft appeal correspondences, and resubmit claims, accompanied by clinical documentation, in a payer-specific fax appeals format.
Our comprehensive range of Accounts Receivable (A/R) and denial management services provides the following advantages to our clients:
- Prioritizing Claim Resolution: Our central focus centers on resolving claims rather than solely tracking claim status.
- Efficiency Through Automation: We streamline claim status verification by maximizing the use of web portals for real-time status access.
- Optimized Workflow: Each claim status code triggers specific inquiries from insurance companies for resolving claim issues. We’ve established organized claims follow-up work queues within web-based workflow systems to enhance documentation quality.
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- Data-Driven Insights: We utilize dashboards and comprehensive metrics to gain a comprehensive overview of Accounts Receivable (A/R), enabling us to concentrate our efforts on swift resolutions.
- Improved Collections and Reduced A/R Days: Our clients typically experience a minimum of a 20% reduction in A/R days and a noteworthy increase in collections, often ranging from 5-7%.
- Prioritizing Claim Resolution: Our central focus centers on resolving claims rather than solely tracking claim status.
- Efficiency Through Automation: We streamline claim status verification by maximizing the use of web portals for real-time status access.
- Optimized Workflow: Each claim status code triggers specific inquiries from insurance companies for resolving claim issues. We’ve established organized claims follow-up work queues within web-based workflow systems to enhance documentation quality.
- Data-Driven Insights: We utilize dashboards and comprehensive metrics to gain a comprehensive overview of Accounts Receivable (A/R), enabling us to concentrate our efforts on swift resolutions.
- Improved Collections and Reduced A/R Days: Our clients typically experience a minimum of a 20% reduction in A/R days and a noteworthy increase in collections, often ranging from 5-7%.