Denial Management
Bi-Monthly Verification Service
At Way2Cloud, our Denial Management process focuses on claims older than 60 days, ensuring effective resolution and revenue optimization.
Empowering Your Revenue Cycle:
Minimizing Losses with Denial Management.
Enhanced Revenue Recovery :
Thorough claim evaluation and resolution of denials lead to increased revenue collection.
Expedited Claim Resolution :
Proactive engagement with insurance companies ensures timely resolution of pending denials.
Improved Cash Flow :
Optimized revenue and reduced outstanding balances contribute to a healthier cash flow.
Efficient Denial Handling :
Collaboration between our expert teams streamlines the denial management process.
Continual Process Enhancement :
Continuous analysis of denial patterns leads to ongoing process improvements.
Financial Stability :
A well-managed Denial Management process contributes to the financial stability.
Our Simplified Process
- Thorough Claim Evaluation:
Our expert revenue cycle management team conducts a meticulous review of aged claims, analyzing ERAs/EOBs to pinpoint denial reasons. - Identifying Pending Biller Actions:
During evaluation, we identify claims requiring action from the biller’s end to address pending denials. - Collaboration with AR Calling Team:
Our Denial Management team partners with the expert AR Calling team, adept at engaging insurance companies for prompt resolution. - Proactive Insurance Contact:
The AR Calling team initiates contact with insurance providers to discuss pending denials, gather essential details, and expedite claim resolution. - Comprehensive Summary for Billers:
We provide detailed summaries of denials, including reasons and required actions, empowering billers to take appropriate measures. - Bi-Monthly Progress Review:
Our bi-monthly process allows sufficient time for billers to work on claim resolutions, with regular reviews and follow-ups for outstanding issues. - Optimized Revenue and Cash Flow:
Our approach ensures maximum revenue collection and improved cash flow by addressing denials promptly and securing rightful reimbursements. - Continuous Improvement:
We constantly analyze denial patterns to implement process enhancements and minimize future denials, fostering continuous improvement in our Denial Management process.
