Managed Care Denials decrease by 40%
Throughout our five year relationship we have monthly client conference calls regarding the denials we have reviewed. The corresponding reports analyze findings by facility, and by payer. We engage the insurance carrier in the calls and challenge their claims processing and contract terms. As a result, the health system has seen a year over year reduction in dollars denied of over 40%. Our goals are to continually press for a change in behavior by the insurance carrier, and a systematic reduction of reoccurring denials.