Industry reports suggest that denied claims can account for an average of 5 to 10%+ of revenue. Additionally, approximately 65% of denied claims remain unresolved, leading to a significant amount of unaccounted income.
At Medlavizan Medical Billing, we offer a complete medical billing service that can also function as a stand-alone service. Our team of professionals will identify and correct the root causes of denials, thereby improving your clean claim rate and minimizing any future denials. We work with you to streamline your workflows, resubmit denied claims faster, and improve your cash flow.
Our Denial Management service includes:
- Identifying key reasons for denial
- Categorizing and monitoring denials
- Payer follow-up on re-submitted denials
- Preparing and submitting appeals (when required)
Our steps to reduce the number of denied claims:
- Determine patient eligibility and verify electronically
- Create a process to sufficiently obtain prior authorization before delivering services
- Certified coders to reduce coding errors
- Determine medical necessity