Intent healthcare solutions
Coding Denial Management
Identify coding issues. Educate Clinicians. Prevent denials.
Coding Denial Management Services
Coding Denials are a significant component of claim denials. While the most cost-effective mechanism for recovering revenue is to ensure that optimal payments are received the first time a claim is submitted, more than 10% of claims are denied even for well-run revenue cycle departments.
Medical Billing Wholesalers offers comprehensive coding denial management services to help you manage the labor-intensive process. We also provide coding audit solutions to help you prevent coding denials significantly.
Improve Revenues by addressing claims denied due to Coding issues
Denied claims require a complete review of the reasons that caused the denials. Denials on account of incorrect coding or other coding issues need a comprehensive process, including retrieving medical records, reviewing the medical codes ascribed, assessing the clinical documentation, performing coding edits in line with payer-specific guidelines resubmitting the claim. The process is labor-intensive and time-consuming, draining the resources of the coding team.
Did you know? Providers do not resubmit or appeal as many as 65% of claims denied!
Due to the intense resource requirements for appealing denied claims, Providers do not resubmit or appeal as many as 65% of the denied claims. Lack of staff and lack of certified medical coders are the common reasons cited by most revenue cycle administrators. As keeping the lights on takes precedence, the focus shifts to processing newer claims rather than addressing denied claims.
Our Denial Management Services
Medical Billing Wholesalers brings the advantage of efficient processing, denial management expertise, and offshore price structure to bring you a cost-effective denial management solution. Our training programs for denial management personnel and structured policies and procedures for addressing each denial code helps us identify issues with the claim and manage them effectively to allow you the ability to collect lost revenue.
We bring the following benefits to customers utilizing our Coding denial management services.
Request Additional Information
To learn about our comprehensive Medical Coding and Audit Services, please fill the form below and one of our representatives will get in touch with you.