Denial Management
Feel like you are going head-to-head with insurances companies to get paid? Using experienced staff and a streamlined approach, AccuMedChart can help you get maximum reimbursement.
Insurance Denials and Appeals
Claims that have been rejected or denied are carefully reviewed and resolved as quickly as possible. We utilize a three level appeal approach and handle incorrect denials by calling the payers directly, appeal in writing with supporting documentation, and if necessary utilize the administrative appeals approach to submit higher level appeals.
1.
In instances when a simple phone call can be made to the payer to discuss an improper denial, we call immediately. This is the fastest way to get a claim reprocessed or resolved. We also utilize the payer’s website to submit corrections for quicker response.
2.
We will carefully review the denial and request supporting documentation from your office and submit a written appeal to the payer when claims have been denied incorrectly. Our appeals are then carefully tracked and escalated if necessary.
3.
Claims that are still denied incorrectly after the appeal has submitted will either be handled directly with the local provider representative or we will escalate the appeal utilizing the payer’s administrative appeals process.
4.
We will also verify that your reimbursements correspond to your negotiated fee schedules and appeal any underpayments as necessary.
ALL claims are followed up systematically and quickly. We diligently pursue your claims for maximum insurance reimbursement and appeal your denials.
Denial Analytics
We provide insight into root causes for denials and recommendations to work the denials and optimize reimbursements/minimize revenue loss.
Out-of-Network Negotiations & Appeals
With extensive knowledge of out-of-network payor strategies, AccuMedChart has developed a unique and highly-effective approach to optimize out-of-network payments, “reasonable and customary” rates and re-pricing out-of-network bills.
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Physicians and hospitals nationwide trust AccuMedChart for their medical billing and coding needs. Talk to an advisor and learn why.