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Our Denial Recovery Resources improve cash flow and reduce write-offs by analyzing denials, streamlining appeals, tracking the disposition of appeals, and providing prevention reporting and analysis. More importantly, our system and team of highly trained professionals are focused on the timely recovery of funds, often well before the statute of limitations for such claims expires.
This ability to respond quickly and effectively adds real value to hospitals, in the reclamation of the funds, and through the ability to provide financial services departments a trusted ally every step of the way.
If a Workers’ Compensation claim is in the process of litigation through the Industrial Commission, we can monitor for changes to the Workers’ Compensation claim or re-bill to the secondary payer if the claim is denied.
This additional step increases revenue as well as patient satisfaction.
Additionally, Denial Recovery Resources provides the following:
Analyzing:
Collecting and interpreting of denial patterns to quantify denial causes and their financial impact.
Appealing:
Generating appeal letters based on state of Ohio statutes and case citations favoring the medical provider’s appeal.
Tracking:
Collecting information on denial appeals, including status, escalation, correspondence with payers, and the disposition of denial appeals to increase recovery amounts.
Partnering:
Working with existing hospital follow-up staff to develop mutual metrics (balanced scorecard).
Outsourcing:
Total outsourcing of Workers’ Compensation Payer Collections is available with a graduated rate, dependent on age of claim.
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