Denial Management Services

The prevention of claims Denial process is a team game. It requires corrective action at different points of the revenue cycle where issues are identified. A proactive approach in cooperation with denied claims experts can help develop denial management strategies and ultimately lead to revenue protection. Our Denial Management Service Offerings With years of experience,  SEQ Medical Billing Services has established systems and mechanisms that can help healthcare organizations zero in on the best claims denial solution.

Denial Management Services

Cyber Medical Services (CMS) denial management service offering include the following:

Collecting Denied Claims Data

Data serves as the foundation of our management services. We will gather pertinent information that will be key to solving your claims denial problems. We cover all bases of the process, from the basic information about the claims, status of the appeals, to relevant correspondence with involved parties.

Interpret Denial Patterns

We will categorize the data we have gathered following our strict sorting guidelines to take the most appropriate corrective actions. Along the way, we will recognize patterns that can help us dig into the root cause of denied claims.

Track Status and Appeal

As part of the strategy, SEQ’s team will not just resubmit claims but regularly follow up to resolve the claims. Crucial to the prevention of future denied claims, we will build a strategy on how to handle specific denial reasons for a more efficient process in reclaiming revenues.

Accurate Reporting to Aid Better Business Decisions

SEQ’s streamlined denial management services involve comprehensive reporting to the healthcare organization’s management. This will assist them in understanding the main issues raised by payers and aid in improving the processes to guarantee good cash flow.

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