Denials Management

Increase operational efficiency and decrease loss of cash flow.

  • 3%+ - net revenues lost due to payment denials
  • 67% - denials are recoverable
  • 90% - denials are preventable

Improve your percentages with HRG's complete denials management solution. Utilize our team of denials experts, proprietary software backed by an in-house team of data control specialists, and proven process flow to get cash back without taking on additional staffing, hiring or training.

Services

  • account resolution
  • denials prevention
  • process improvement

Comprehensive Solutions

  • seamlessly integrate with hospital EDI system
  • analyze 835 and 837 file records
  • identify denial cause
  • flag error-prone accounts
  • pinpoint denials risk factors and incorrect coding trends
  • review accounts
  • track deadlines
  • appeal letter preparation and submission
  • additional documentation gathering
  • secure reimbursement payments
  • research and resolve pending claims
  • revenue recovery follow through
  • write-off recommendations when appropriate
  • ensure DRG billing compliance with applicable CMS regulations
  • full revenue cycle denials source assessment
  • customized training and education sessions
  • action improvement plan
  • robust reporting package

Benefits

  • increase cash flowing back in revenue stream
  • reduce claim denials
  • gain a partner with experience to fight increasing denials in all types of insurance
  • decrease risk factors
  • improve coding quality for correct reimbursement
  • achieve sustainable success

The HRG Quality Difference

Five A's that make HRG the best and only revenue cycle management partner you'll ever need:

  • Ability - skilled, dedicated, experienced,  employee-owners
  • Automation -  industry-leading, advanced, proprietary technology
  • Action - implementation of proven process flows for maximum efficiency
  • Advocacy - fighting for your success through our partnership-approach
  • Accomplishment - 10 Most Promising Revenue Cycle Management Solution Providers - Healthcare Tech Outlook Magazine, 20 Best Workplaces in Healthcare - Fortune Magazine and Great Places to Work, Largest Employee-Owned Revenue Cycle Management Company in the Nation

 

Looking for a complete solution to the complex challenge of managing denials?

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