Tired of repeated claim denials? Take a bet on NeuraBill’s denial management services and overturn those payment refusals. With us by your side, you are on your way to ultimate financial success.
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NeuraBill’s denial management services are specially designed to reclaim your lost revenue and improve cash flow. We house a highly experienced denial management team that identifies the denial reasons, implements corrective measures, and appeals to ensure maximum reimbursement for your practice.
Prompt Cause Analysis
Adherence to Payer Rules
Expert Claim Correction
Detailed Insights & Reporting
Effective Appeal Management
Follow-Up & Resubmission
Our highly skilled healthcare denial management team reviews clients’ denial data and identifies common reasons triggering denials. These may range from coding errors to inadequate documentation. With this approach, we get the actionable insights needed to resolve current denials and prevent future rejections.
Successful denial resolution hinges on proper claim corrections. At NeuraBill, our denial management specialists carefully check each claim before resubmission. They look for coding accuracy, correct modifier assignment, and documentation completeness to ensure timely revenue recovery and prevent rejections.
Appeal management is an integral process of healthcare denial management. We handle the entire appeals process, including crafting compelling letters backed by clinical evidence and supporting documentation. Our team also strives to navigate multiple levels of appeals, such as pursuing overturned denials.
We understand that staying current on the ever-evolving payer policies is another best practice in medical claim denial management. As a result, our team of denial managers ensures compliance with the reimbursement guidelines, medical necessity criteria, and coding requirements, ultimately reducing the denial rate.
Our denial management solution includes detailed reports on denial trends, recovery rates, and root causes that can help you get clarity on how to improve your revenue cycle. With these insights, you can make data-driven decisions for an optimized medical billing workflow and overall profitability.
Our healthcare denial management team leverages cutting-edge technology to follow up on reworked and resubmitted claims. This automated tracking prevents repeated denials and ensures the speedy recovery of lost revenue. As a result, you experience a steady cash flow and a healthier revenue cycle.
NeuraBill’s denial management services are specially designed to reclaim your lost revenue and improve cash flow. We house a highly experienced denial management team that identifies the denial reasons, implements corrective measures, and appeals to ensure maximum reimbursement for your practice.
Our highly skilled healthcare denial management team reviews clients’ denial data and identifies common reasons triggering denials. These may range from coding errors to inadequate documentation. With this approach, we get the actionable insights needed to resolve current denials and prevent future rejections.
Successful denial resolution hinges on proper claim corrections. At NeuraBill, our denial management specialists carefully check each claim before resubmission. They look for coding accuracy, correct modifier assignment, and documentation completeness to ensure timely revenue recovery and prevent rejections.
Appeal management is an integral process of healthcare denial management. We handle the entire appeals process, including crafting compelling letters backed by clinical evidence and supporting documentation. Our team also strives to navigate multiple levels of appeals, such as pursuing overturned denials.
We understand that staying current on the ever-evolving payer policies is another best practice in medical claim denial management. As a result, our team of denial managers ensures compliance with the reimbursement guidelines, medical necessity criteria, and coding requirements, ultimately reducing the denial rate.
Our denial management solution includes detailed reports on denial trends, recovery rates, and root causes that can help you get clarity on how to improve your revenue cycle. With these insights, you can make data-driven decisions for an optimized medical billing workflow and overall profitability.
Our healthcare denial management team leverages cutting-edge technology to follow up on reworked and resubmitted claims. This automated tracking prevents repeated denials and ensures the speedy recovery of lost revenue. As a result, you experience a steady cash flow and a healthier revenue cycle.
When you outsource denial management services to our experts at NeuraBill, you save big on the costs of establishing an in-house team. That’s not all. Outsourcing enables your healthcare facility to overcome complex billing challenges without losing focus on patient care. Moreover, partnering with a premier denial management company like NeuraBill gives you instant access to a specialized team, offering added experience and expertise.
Timely resolution of denials, enhanced financial stability, and overall operational efficiency are now achievable with NeuraBill’s tailored services. Our denial management team uses data analytics to map denial trends, identify patterns, and formulate strategies to prevent denial recurrence.
We pursue every dollar that is rightfully yours by converting denied claims into recovered payments.
Get instant access to certified professional coders and denial management specialists ready to serve you.
Outsource denial management to save time and money on in-house hiring, training, and infrastructure.
Unburden administrative staff from denial management so they can redirect their efforts to patient care.
Clean Claims Rate
First Pass Ratio
Revenue Increase
Collection Ratio
Days In AR
At NeuraBill, we have carefully designed our denial management process to help our partnered firms recover revenue, prevent future denials, and optimize overall financial performance. Here’s how our 6-step medical claim denial management process works:
Denials often occur due to missing and incorrect documentation. That’s why, at NeuraBill, our denial management team ensures documentation completeness and accuracy. How do we do it? By collaborating with providers to identify gaps and demonstrating the medical necessity of billed services.
Errors in code selection can also result in costly payment rejections. We only hire certified medical coders to ensure coding accuracy in claims. Besides, leveraging their knowledge and expertise allows us to pinpoint and rectify coding errors quickly. Thus, you achieve a high clean claim rate.
Modifiers are a real savior when you need to be more specific. However, missing or wrong modifiers can also lead to denials. At NeuraBill, we ensure the reworked claim has an appropriate modifier (if required). It is one of the quality checks in our healthcare denial management workflow.
Claim filing timeframes range from 90 days to a year across payers. If you submit your claim after the deadline, it will result in instant denial. Our denial management experts check each payer’s allowed claim filing timeframe and ensure clean and compliant claims are submitted before the deadline.
Missing, wrong, or expired prior authorization numbers can also result in denials. Many payers require you to obtain pre-authorization from them before rendering services. Therefore, we emphasize that our denial management staff check the prior authorization number on the reworked claim.
Billing and reimbursement guidelines significantly vary across payers. Payers also update their policies from time to time. Therefore, we conduct regular training sessions and encourage denial management specialists to maintain communication with the payers to stay current on policy revisions.
Denial management in medical billing is not a walk in the park. There are hundreds of denial reason codes, broadly categorized into five main groups: Contractual Obligation (CO), Corrections and Reversal (CR), Payer-initiated Reductions (PI), Patient Responsibility (PR), and Other Adjustments (OA). Sounds overwhelming, doesn’t it? So, let’s simplify them!
Different specialties have unique denial management challenges. You can’t apply a generic solution to all practices. Therefore, at NeuraBill, we have specialty-specific denial management specialists readily available to accelerate revenue recovery. So, whether you are a cardiologist or a nephrologist, we have your back!
Compliance with rules and regulations is essential for accurate medical billing, but varying state laws add to the complexity. Non-adherence to federal and state regulations can lead to denials, heavy financial penalties, and even lawsuits.
At NeuraBill, we empower practices nationwide with our unmatched denial management solutions. Our team is well-versed in all federal and state regulations, ensuring 100% compliance across all 50 U.S. states. This expertise actively prevents audits and reputational damage. So, whether your practice is in Alaska or Florida, we are ready to serve you!
Denial management in medical billing is an internal process that focuses on identifying, analyzing, and resolving denials by payers. It involves determining the root cause of the denial, reworking the claim in case of errors, appealing incorrect denials by the payer, and implementing denial preventive strategies.
Professional denial management services help enhance revenue recovery by minimizing the denial rate and accelerating reimbursement. This ultimately results in a steady cash flow and improved financial health for healthcare businesses.
Claim denials can arise from many issues. However, the most common causes triggering denials include coding errors, missing modifiers, inadequate documentation, and lack of pre-authorization.
Yes, unlike average denial management companies, our team of healthcare denial management experts effectively tracks denial trends and prepares comprehensive reports to share with the relevant healthcare facilities. Based on these insights, we update the strategies to reduce denial occurrences and improve the practice’s overall financial performance.
Our denial management specialists work tirelessly to lower the claim denial rate. We analyze denial trends and identify issues. Based on the findings, we implement corrective measures. As a result, our partnered healthcare firms experience fewer denials, improving the overall revenue health.
At NeuraBill, our experienced denial management team excels at determining the exact cause of denials. Our specialists then correct or appeal claims to ensure successful resolutions. This prevents revenue leakage and guarantees your practice receives maximum reimbursement.
