Denial Management Services
At EMRBS, we find that to ensure efficient revenue cycle denial elimination through proper denial management is imperative. In the health care industry payers often find reasons to underpay, deny or delay payments. Not only do we appeal denials but we also track and analyze patterns that lead to this problem so that it can be addressed early on. The procedures and processes that we have in place ensure maximum reimbursement to your practice
EMRBS specializes in claims consulting to healthcare providers and provides your practice a unique facility for re-imbursement of your pending payments. If you’ve pending payments to different carriers due to errors in billing we will recover those payments for you. Our experienced claims consultants will carefully assess every detail of your claim and the insurance carrier's denial, in an attempt to determine the most appropriate and effective action to be taken on accounts placed with us. Further, we will research the most recent case and statutory laws, which support payment on your insurance claims.
We do pre-collections follow up for claims which have "reject/resubmit" status and have aged beyond 60 - 90 days and are not ready to be assigned to collections. We believe that there is significant value in pursuing these types of claims on behalf of your healthcare facility, particularly in the wake of resource limitations that can prohibit your facility from processing these claims with the same timeliness as the newer claims.
In spite of timely payment rules in many states, a common complaint of all hospitals is difficulty in collecting accounts, which are 60 to 90 days old. Many hospitals have a difficult time reprocessing such claims.
Our goal is to lessen the burden of un-collectible accounts on your facility's financial health. We facilitate our customers with,
At EMRBS we follow-up with the Patients for outstanding payments. We help in improving your revenue realization. We help in timely recovery of payments. Timely follow-up with patients helps reduce bad-debts and maintain better customer relations.
Collection of these accounts typically requires:
Two-pronged strategy would be adopted
1. Follow Ups
We track denials, log what has been denied, why, how, and when the claim was filed to the greater levels
Keeping in view electronic transactions standards (276/2777) of HIPAA, we will get to the bottom of the claims status, & then will hit the claims accordingly which may include knowing:
2. Re-filing of Claims
Reviewing of the reasons for denial, making necessary changes and resubmitting the bills.
For more details please call us at (713) 893-4773 or send us email at email@example.com