Medi Claim Management helps healthcare organizations recapture lost revenue by overcoming improper claim denials. Our denial management team follows an optimized yet adaptable process customized to your needs. We identify the underlying issues causing denials, appeal the rejections, and implement solutions to prevent recurrence.
Robust denial management is pivotal to practice profitability in an era of rising denials and contracting reimbursement rates. Yet most provider teams lack specialized knowledge or bandwidth to rigorously dispute inappropriate rejections. We alleviate this administrative headache so you can focus on delivering care.
Why Medi Claim Management for Denial Management:
- Pinpoint Root Causes – Understand why denials occur in the first place
- Develop Targeted Appeals – Craft compelling cases to overturn specific denials
- Implement Preventative Measures – Update workflows to avoid future rejections
- Accelerate Cash Flow – Get paid faster by resolving denials quickly
- Increase Collections – Recapture more lost revenue with our 95% appeal success rate
Our 5-Step Denial Management Process:
- Analyze Denials – Categorize by payer, code sets, reasons, etc.
- Identify Causes – Diagnose why rejections occurred
- Construct Appeals – Build evidence-based rebuttals
- Submit Documents – Work with payers to overturn the denial
- Refine Workflows – Implement changes to prevent future issues
Don’t leave money on the table for inappropriate denials. Leverage our denial management services to boost your bottom line.