DenialPrevention™

The goal of our DenialPrevention™ service is to put ourselves out of business. While we`re happy to keep on managing your appeals, we`d like to help reduce your denial rate and increase your recovery rate.

Once we`ve managed enough of your appeals to understand the causes of denials, we can suggest a customized solution to reduce your managed care denial rate and improve revenue flow.

The solution will be unique to your organization and the causes of your denials.

We will give you a clear and specific plan for preventing denials. Each plan will be different because each organization is different, but interventions might include:

1. Revision of UM policies, procedures, and practices including admission, prior authorization, and concurrent review.
2. Review of managed care contracts and recommendations to improve internal processes.
3. Education of UM staff and practitioners on preventing denials.
4. Point-of-service training on improving documentation.
5. Recommending practitioner-specific actions, such as real-time documentation review and improvement.
6. Setting up a database to track and analyze denials and appeals.

And the really good news is that you can fund the DenialPrevention™ services with the money we recover from successful appeals improving your bottom line even more.

If you want more information or if you're ready to sign up for our AppealSuccess™ or DenialPrevention™ services just fill out this form and we'll contact you within one business day.