Denial Management
We track and manage timely follow up on all unpaid claims, pending and any
other improperly processed claims by calling up the Payers, patients, providers,
facilities and any other participants in order to ensure that the reimbursement
is made without any time delay.
We closely look out for the possibilities of Denial Management right from
i)Registration that includes Insurance Verification, Incorrect Payer, Cannot
Identify Patient, etc,
ii) Referrals & Pre-authorizations,
iii) Duplicates like 2nd
CPT on same date,
iv) Charge Entry like Invalid procedure or diagnosis codes,
v)
Medical Necessity like ICD-9 and CPT mapping etc.