Only 70% of the average healthcare practice’s insurance claims are ever paid by insurance providers. While a practice may submit a perfectly clean claim to a payer, there is no guarantee that it will be paid accurately, if it is paid at all.
It’s no secret that payers continue to impose increasingly complex rules, systems, and loopholes with the single goal of limiting payment. This frequently means that practices do not receive full payment for the valuable services they provide to their patients.
Our denial management process is customized according to the client’s practice needs and its revenue cycle requirements, with a constant focus on optimizing the practice’s cash flow.