Denials Management Services for Healthy Cash Flow
Systematically investigate each claim, identify the root causes of denials, and implement targeted solutions to significantly reduce your medical practice’s rate of denied claims with GoBill.
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Claim denials are the number one reason medical billing services fail. About one in every 10 claims submitted are denied by payers, and only 35% of those claims are ever resubmitted by providers.
Denial management services in medical billing procedures aim to keep denials below 5% through recovery and prevention. It is a systemic approach to retrieving lost revenue stuck in accounts receivable and actively preventing unmasked patterns that lead to denied claims from recurring.
Uninterrupted Revenue Flow
Issues that cause revenue denials stem from inconsistent documentation, missing information, modifier misuse, improperly coded procedures, incorrect diagnosis coding, and eligibility or claim rejections due to errors or missing documents.
At GoBill, we implement a robust denial management solution to ensure our clients get faster reimbursement for their services and achieve steady cash flow. Our healthcare denial management team resolves issues, resubmits claims to insurance payers, and investigates the causes of your denials to prevent future risks.
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GoBill Denial Management Medical Billing Solutions
- Investigate legacy and sophisticated Claim Adjustment Reason Codes (CARCs).
- Identify trends and root causes of denials.
- Audit processes for patient eligibility and provider credentialing.
- Correct and resubmit denials.
- Sort denial codes into automated worklists filtered by relevant factors.
- Devise a workflow for each type of denial worklist.
- Correct and resubmit claims or submit documented appeals to the insurer.
- Implement denial prevention strategies.
- Monitor the internal team and the insurer to better track and understand each claim denial.
- Use collected information to apply for a prevention program.
- Apply for the denials prevention program through workflow adjustments, staff retraining, and process revision.
GoBill Denial Management Services
How We Help
- GoBill Denial Management Medical Billing Solutions
- Investigate legacy and sophisticated Claim Adjustment Reason Codes (CARCs).
- Identify trends and root causes of denials.
- Audit processes for patient eligibility and provider credentialing.
- Correct and resubmit denials.
- Sort denial codes into automated worklists filtered by relevant factors.
- Devise a workflow for each type of denial worklist.
- Correct and resubmit claims or submit documented appeals to the insurer.
- Implement denial prevention strategies.
- Monitor the internal team and the insurer to better track and understand each claim denial.
- Use collected information to apply for a prevention program.
- Apply for the denials prevention program through workflow adjustments, staff retraining, and process revision.
GoBill Denial Management Medical Billing Solutions
Resolve Denials from the Roots
By enlisting our healthcare denial management services, our dedicated team will eliminate costly errors and delays in your cash flow and ensure 100% accuracy in your reimbursements. Our denial management medical billing procedures are tried and tested and our results speak for themselves:
- Proactive follow-ups and denial prevention.
- Denial negotiation with claim adjusters.
- Minimized aged A/R and bad debt.
- Resubmissions and appeals of claims within 42 hours.
- 99% first submission claim acceptance rate.
- <1% denials rate.
GoBill investigates and actively shortens your accounts receivable cycle, leading to improved revenue cycle management.
Ready to Boost Your Claim Approval Rate?
GoBill’s expert denial management services can help you streamline your billing processes and ensure faster, more accurate reimbursements. Minimize losses and optimize your practice’s revenue cycle today.