BillMD Denial Management and Appeals
Denials are a major threat to the financial health of most practices, and effectively managing them is crucial for achieving financial success. It is estimated that 10% of physician revenue is lost due to inadequate Denial Management Processes.
Our association's Billers are experts in denial management analysis, which helps prevent denials and revenue losses in the first place. If you have existing denials, let our Billers and coders handle them, and you’ll see those claims getting paid promptly.
The key to successful denial management is analysis. Once the root cause of a denial is identified, correcting it and securing payment becomes straightforward. It takes a specialist to perfectly analyze a claim. Our Billers are specially trained to recover collectables from:
- Workers' compensation
- Medicare
- Medicaid
- Attorneys
Denial claims often require appeals—requests and explanations for reconsideration of previously denied claims, outlining the conditions that now make the claim eligible for payment. Some appeals are time-sensitive. Our Billers review your most commonly denied claims, prioritizing them based on volume and dollar value, and file appeals in a timely manner.
Considering the cost of appealing claims, both in terms of time and money, our Billers decide judiciously whether to appeal a claim. They understand that many practices lose significant income each year by not appealing denied claims, and they focus on maximizing recovery through strategic appeals.
