Denied claims are one of the main reasons for lost revenue in healthcare management. Prime Doc Billing conducts a thorough analysis to:
Prime Doc Billing values maintaining a partnership with our clients. We design our strategies with one goal in mind: to provide you with long-term growth. By trusting our team with your denial management, you can get the following merits:
Prime Doc Billing offers a very detailed denial management service. We cover every step from identification to prevention. Here is a step-by-step guide to help you understand our process:
The first step to denial management service is denial identification. Our experts conduct a root-cause analysis of the process to determine the cause of denial. Once the reason is identified, we categorize the denial by type. It includes:
We study the payer’s guidelines and reasons for denial. After that, we develop strategies to prevent future claim rejections.
Prime Doc Billing prepares for an appeal if we do not agree with a denial. We provide supporting documents to the agencies as proof of the reason for the appeal. It is critical to do so on time before the deadline. Our experts keep track of the appeal status and reapply for it if necessary. We take every possible measure to recover the revenue for your practice. Resubmission refers to correcting the data and resubmitting it for payment recovery. We identify the errors and correct them for resubmission. We also document the entire process to ensure continuous improvement.
Our team performs a detailed workflow analysis to prevent the denial from happening. We have made a constructive strategy for preventive denial management, which includes:
Prime Doc Billing’s professionals have developed a custom dashboard to pinpoint the reasons for denial. We create a visual report and analyze the necessary precautions for recurring denials. It helps us understand the revenue leakage so we can fix it. Our team generates monthly trend analysis to support continuous improvements and reduce the repetition of denials. The measurable data can help us identify patterns that follow denial. We provide recommendations after thorough analysis to prevent future claims.
Our teams work together to bring out the best solutions. We coordinate with the coding teams to ensure that the codes are correct and up-to-date. A real-time feedback helps us prevent front-end errors, bringing in faster reimbursements.
Denial rate in the US is very frequent. One in five claims are denied upon first submission. That is why it is very important to have a denial management service that can provide you maximum healthcare revenue. The unresolved claims impact the overall financial health of your practice. Our team’s proactive approach identifies errors in claims before submission. We plan ahead by forecasting the challenges for effective healthcare revenue.
Our end-to-end denial resolution process extracts the root cause of denials and eliminates them for future claim submissions. Here is a structured form of our denial resolution process:
We review every single claim and identify and understand the contributing factors. This helps us in categorizing them according to the revenue value. We address the claims that would bring in the most cash flow through smart prioritization. However, we do not limit ourselves to a single criterion. Prime Doc Billing also identifies the claims that are running out of the time bracket. We work on them immediately to prevent further denial resolution complications. This reduces Accounts Receivable aging and prioritizes claims that capture high-value reimbursements.
Our denial resolution process includes appeal strategy development. If refers to gathering strong arguments for an appeal to maximize the likelihood of reversal. Our tailored argument enhances revenue recovery of the denied claims. Our team stays updated with real-time tracking of appeal status. We instantly provide any needed documents for verifications to speed up the process. If an appeal is accepted, it directly recovers the revenue-enhancing cash flow.
Prime Doc Billing believes in transparency. Therefore, we provide a layout of the ongoing tracking and make continuous improvements. This helps us stay up-to-date. Our follow-up reminders ensure that no claim is getting sidelined or delayed. We report the entire process to our clients to ensure you have full visibility. We give real-time revenue performance updates to our clients to build trust and accountability.
We repeatedly work on a claim to get it accepted by the insurance companies. The more we examine it, the more strong arguments or mistakes we get for an appeal or resubmission, respectively. Prime Doc Billing has a visibly higher claim acceptance rate than the industry average. Our dedication to a goal is what makes us the best option for your practice.
Every denied claim represents revenue leakage. Our team works hard on claim resubmission to get you the best revenue. Our main focus is to increase the cash flow for your practice. At Prime Doc Billing, we care about the financial health of your practice. Hence, our team works very hard to make the most of it.
We ensure that your practice remains compliant. That is why our team identifies the errors in your claim to decrease the risk for an audit.
Prime Doc Billing addresses the previous denials and prevents new ones. This results in a faster cash flow for your practice. Our team ensures that you get the timely reimbursements for financial stability.
Our team works hard with the difficult part of documentation. That way you can build trust with your patients. Our experts resolve the denied claims quickly for better patient satisfaction.
Our Denial Management Services can turn lost revenue into reimbursements. Let us take over the hectic part of documentation so you can focus on delivering the best patient care. Get in touch with our virtual assistant or contact us now!
We can handle every type of denial, which includes:
(347) 650-2656
(347) 650-2656
info@primedocbilling.com
