A/R and Denial Management Services
Accelerate Collections, Maximize Reimbursements
Insurance Follow-up
Appeals
Aged A/R Follow-up
Correspondences
Accounts Receivables and Claims Denial Management services for Acute, Physicians, and Specialty care providers, who want to improve their clean claims rates, better manage their denied claims population, ensure expert level appeals management, and attain improved cash flows. Whether you want to outsource all of your Revenue Cycle Management functions or just the critical A/R and denials management tasks, you can count on Data Marshall to bring you valuable net returns.
Our Features
Thorough Review of Denials and Appeals
Successful appeals and denials management attained through analysis of payer adjustment codes and improvements to the claims process
Meticulous Review and Root Cause Analysis (RCA)
Of the denials by payer, Rev/CPT Codes, Reason codes etc., mapping the denials to each sub-process of the RCM function for preventing future such instances
Billing and Coding Audits
To verify the reasons for the denials
Denial Management Insights
Insights and recommendations provided on improving existing processes, recommendations for documentation, claim management, and payer analytics
First and second pass vendor experience
Our experience in understanding the claims process from both the provider and payer’s viewpoint allows Data Marshall to secure reimbursement after existing vendors have exhausted their efforts
Preventive Approach
Identifying potential denials and facilitating pre-emptive actions, focusing on the first pass ratios
Adept with protocols
Federal, State, commercial, WC, MVA, Lien and Litigation act
How do you Benefit?
Tangible Benefits
- Increase in revenue from denial inventory
- Dip in timely filing denials
- Increase in payments from low dollar claims
Intangible Benefits
- Insights on billing and coding process, fix internal gaps to avoid denials
- Increase in first pass collection ratio
- Dip in denial percentage
- Effective utilization of internal resources
- Timely resolution of the inventory