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Enhance Revenue Cycle Performance with Smarter Denial Management
Denial management is a critical component of effective revenue cycle management, directly influencing financial stability and operational efficiency. Our software equips providers with the tools to stay ahead of trends by automatically identifying changes in the denial landscape, uncovering root causes, and providing actionable context.
By delivering targeted insights, we aim to reduce preventable denials, increase claim approvals, and optimize revenue recovery efforts.
Example: Managing Authorization Denials
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Detect changes in denials across service categories and denial types: Authorization denials for knee surgeries at Generic Hospital increased by 9.12% between December 24 and January 24.
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Explain the change with corresponding shifts in billing practices: During the same period, Medicare claims for patients with chronic pain rose by 23.67%.
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Contextualize the change in the broader revenue cycle: Medicare claims for patients with chronic pain were 4.82 times more likely to result in an authorization denial compared to other claims.
By offering clear, actionable insights, our software empowers healthcare organizations to tackle denial challenges with confidence and efficiency, ensuring a healthier revenue cycle.
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