Revenue Cycle Management

Denial Management

Stop working in denial.

Even on the best of days, the last thing you want to deal with is a denied insurance claim. They’re costly, time-consuming and disrupt your revenue cycle. With our Denial Management solutions, you won’t have to worry any more. By identifying and eliminating the root causes of denied claims, we can help you significantly increase your cash collection and maximize reimbursement.

Unresolved claim denials lead to revenue leakage, impacting the financial health of healthcare providers.

Unresolved claim denials lead to revenue leakage, impacting the financial health of healthcare providers.

Unresolved claims denials drag down your financial health, taking valuable revenue from services rendered out of your organization’s pocket.

Denials often result from incomplete or inaccurate documentation of patient information and services rendered.

Denials often result from incomplete or inaccurate documentation of patient information and services rendered.

More often than not, denials are a result of incomplete or inaccurate documentation of patient information and services rendered.

Manually resolving denials can be time-consuming and resource-intensive.

Manually resolving denials can be time-consuming and resource-intensive.

Denied claims must be resolved manually, a time-consuming and resource-intensive process that takes your team away from other, more pressing tasks.

Without clear insights into the reasons for denials, it’s challenging to implement effective prevention strategies.

Without clear insights into the reasons for denials, it’s challenging to implement effective prevention strategies.

Lacking any clear insights into the causes of denials can make it challenging to implement effective prevention strategies.

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Make denied claims a thing of the past.

Our Denial Management solutions are built using HFMA® Peer Reviewed software and deliver exceptional service in handling and appealing denied claims promptly and with precision.

Product Features

Denial Management

Our solution’s customizable three-step process delivers a tangible decrease in denied claims, allowing your staff to focus on the tasks that really matter.

  • Accounts Receivable Days – 40 Days Accounts Receivable > 90 Days: 17% Denied Claims Upon First Submission: 4%.
  • Time period flexible and include a shared risk model.
  • 1 in 4 acute hospitals across 50 states call TruBridge a partner.
  • RCM software and service have been HFMA® Peer Reviewed.
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Step 1: Analyze, Prioritize, Report

An electronic analysis of your 835 remittances and 837 claims data will yield valuable insights. We categorize and prioritize denials into key areas, including the number of claims and the corresponding revenue opportunity, plus report-inclusive data.

Step 2: Onsite Assessment and Remediation

Through a detailed review of your current workflows from patient registration to claims submission, we’ll discover the root causes behind denied claims. Then, we’ll help you automate the process, implementing best practices and re-engineered workflows to avoid future denials.

Denial Complexities Can Cost $265.6 Billion

Learn about the new process for measuring outcomes of denials management efforts, including key performance indicators (KPIs), established by the HFMA Claim Integrity Task Force.

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Let's Talk.

Denied claims don't have to happen. Discover the solution you need with TruBridge.