Denial management is critical for any medical billing process, healthy cash flow is what makes the billing process efficient and successful and for that revenue cycle, denial management is a very important factor. We at OBSRCM do our best to quickly determine the causes of denial and foresee any future risks and turn around payment as quickly as possible.
We also aggressively work at investigating each unpaid claim, identifying trends by insurance carriers, and appealing the rejection in the appropriate manner, this provides our clients not only the clarity to proceed further but also the best solutions to manage claims in the present and future.
Denials and rejections are one of the biggest hurdles that overwhelm healthcare reimbursements. Both rejection and/or denial due to lack of specificity or inaccurate billing.
Reasons for claim denials:
- Late submission
- Duplicate claim submission
- Incorrect patient information
- Missing patient information
Services mentioned in the claim are not covered under the insurer’s scope - Incorrect registration data
- Documentation error
- Pre-authorization errors
What do we do as a claim denial management service?
- Determine the cause of denials
- Investigate unpaid claims
- Observing and tracking critical reasons behind claim denials.
- Proper appeal letter for denied claims
- Working on an efficient solution to resolve the issue
- Keeping up with trends by various insurance carriers to avoid denials
Faster approval of claims - Reduce your claim denial ratio to improve your cash flow