How Denial Management in Healthcare Will Ease Your Cash Flow/Denial Management

Claim denials happen frequently, and many healthcare practices don't bother to appeal because there simply isn't enough time to do so. Many doctors and healthcare facilities also believe that the return on appeals can't justify the administrative expenses involved. This attitude towards denied claims can harm practice viability and cause denial rates to swell to alarming levels. Ideally, denial rates should be below five percent, but statistics indicate that the average is around 10 percent.

Are your reimbursements declining because of denied claims? Then it's time to review the denial management system in your healthcare organization to achieve a healthier cash flow.

How can Denial Management help in healthcare?

Denial management is an indispensable aspect of the medical billing process. It mainly involves seeking reimbursements from health insurance providers. Insurance claim denials can hurt the cash flow of hospitals, clinics, and practices because delays can take weeks or even months to process. The good news is that now you can reduce this and make your cash flow faster with the help of denial management in your Healthcare. This practice efficiently resolves the issues causing denials and shortens the accounts receivables cycle.

1. Denial Prevention

Denial management in healthcare will ensure the success of your revenue cycle management to achieve a healthy cash flow. Professionals will identify, resolve, and prevent the denials by addressing their root causes. Then, they will create a mechanism to avoid the same denials from reoccurring down the line. With their help, you can achieve a 95 percent clean claims rate and increase your practice's overall profitability and efficiency.

2. Added support for your practice

Proper denial management in healthcare will prevent medical billing denials down the line. They will ensure correct coding and look out for incorrect or missing information to avoid revenue loss and ensure appropriate payment collections. They will make sure that denials are filed on time, with proof to back them up. Reputable service providers are up-to-date with the latest knowledge about denials and medical billing, so they can keep up with the challenges and provide the right and timely solutions every time.

About the Author:

Gett Johnson leads sales efforts at Plutus Health Inc. as the Vice President of Plutus Health providing. Plutus Health Inc. is a 15-year-old full-cycle RCM firm specializing in medical coding & billing, denial management, credentialing, prior authorizations, AR follow-up for both medical and behavioral health specialties. As the industry experts in revenue cycle management solutions, they've created a unique process that combines machine learning and robotic process automation to address the clients' most frustrating problems.

Plutus Health Inc. is a 15-year-old full cycle RCM firm specializing in medical coding, medical billing, payment posting, denial management, credentialing, prior authorizations, AR follow-up & out of network negotiations for both medical and behavior