Denial Management Services

Improve clean-claims rate

Recoup revenue & maximize reimbursements

Expert assistance in handling Denial Management

Denial of medical claims is one of the major issues faced by physicians. Scribe4Me’s Denial Management service is designed to perform a root-cause analysis, identify the reason for the denial and take action to resolve it. Most importantly we implement process improvements to stop recurring denials in its tracks. In case a claim has been denied we send out appeal letters making sure to include any supporting documents deemed necessary by the insurance company. We guarantee to bring down the number of denied claims within a short period of time.

Here are some of the key services that we provide under Denial Management

  • Identify and understand the reasons behind repeated claim denials
  • Find out the number of occurrences
  • Route to the denial analysis team to take corrective action
  • Sort denials by category to identify problem areas that need to be focused and worked upon
  • Take action to correct identified issues
  • Revalidate all clinical information before resubmission
  • Resubmit claims and follow-up effectively until the claim is resolved
  • File an appeal with the insurance company, if needed

It is crucial to work with experts who can handle the time-consuming process of resolving AR denials and delivering effective results. Our team of denial management experts work towards reducing the number of denials and increasing success rates. The following are some of the reasons to choose Scribe4Me’s Denial Management services.

  • Strict adherence to HIPAA regulations and their compliance
  • Denial management experts hand-picked for their expertise and experience in the domain
  • Regular training for the team to sharpen their skills and keep them updated with the latest payer-specific guidelines
  • Keep the initial denial rate below 4% (industry average is 5% to 10%)
  • Offer high-quality services at cost-effective rates at fast turnaround times
  • Assure 40% reduction in operating costs
  • Good understanding of various insurance company’s norms, standards, and procedures
  • Provide periodic reports to measure process improvements effectiveness
  • State-of-the-art infrastructure, cutting-edge tools, and technologies that are at par or above industry standards

Scribe4Me’s highly-effective Denial Management can help address denials and recover revenue that would have otherwise been lost. Scribe4Me - the best bang for your buck!

Revenue Cycle Management

Are you a healthcare provider under increased pressure to focus on providing care as well as maintaining financial viability? Do you feel overwhelmed with administrative and financial responsibilities? Feel like you are losing pace on follow-ups for efficient collection? Are you short of trained experts to handle the complex maze of RCM? Scribe4Me is here to help you.

Insurance Eligibility Verification

The first and most important step is to determine the patient's eligibility and insurance coverage. People often tend to forget to renew their health insurance policy annually. And insurance companies are in no way responsible for payments covered under the plan during the period of lapse. As a result the patient has to pay for the services out of his own pocket. What if the patient is reluctant to pay the bills?

Medical Coding

Medical Coding quality holds the key to accurate reimbursements. Scribe4Me has perfected the art of creating accurate and clean claims on the first go. We have a team of AAPC certified, trained medical coders who are proficient in coding rules and can provide accurate and complete coding necessary to optimize reimbursements.

Charge Entry Services

Accurate charges are crucial for claims to pass through the first time and Scribe4Me does it right, each time.It has been stated by insurance companies that 4 out of 10 claim denials are due to clerical errors. Charge Entry is a process of entering medical data to enable claims processing. At Scribe4Me we follow a well-structured Charge Entry Process and ensure that relevant checks are made at each level of the process.

Claims Transmission

Scribe4Me undertakes to do an EDI set-up for those medical practices that wish to get-off paper transaction claims and switch to electronic data interchange (EDI) for claim submission. Submission of the claims through EDI reduces the chances of inaccuracies and errors. Your claims will reach the payer instantly resulting in quicker reimbursements and eliminating claim processing delays.

Payment Posting

We believe that accurate charges contribute to attaining clean submission goals. Scribe4Me offers fast and accurate Payment Posting solutions as a part of the Revenue Cycle Management services and also as a standalone service depending on the client's requirements. Our team of experts has extensive experience in several specialties and in handling a wide range of medical software.

Accounts Receivable Management

We at Scribe4Me understand that Accounts Receivable is an important part of cash flow and requires rigorous follow up. That is why we have a streamlined system in place to control and manage your practice's accounts receivable and recovery. Simply trust the experts for efficiency, and we assure you that all the medical services provided by you will be paid for, fully and promptly.

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