Denial Management
Our denial management service will improve your reimbursement levels by assisting your hospital in reducing its rate of Medicare denials. Our services focus on modifying clinical operations and documentation patterns to significantly reduce the occurrence of denials.

Accounts Receivable Management
Our accounts receivable management process analyzes your AR from a global perspective and identifies any problem areas related to AR management. This process is aimed at making the billing process more efficient through operational changes in HIMS coding and certain key clinical areas.

Medical Necessity
Our medical necessity assessment will diagnose medical necessity issues (Local Medical Review Policies and National Coverage Determinations) that are resulting in write-offs and/or denials. Based upon the results of the assessment, we will develop a road-map for you to implement processes and procedures to reduce or eliminate medical necessity related financial losses. We can also assist you in developing a medical necessity committee to review draft LMRPs during the comment period and to modify existing LMRPs through the reconsideration process.