Denial management is an essential part of the medical billing process. At ELATE-RCM we are constantly working to minimize the time and efforts associated with denied claims Our Denial Management team is Constantly trying to improve processes by investing quite an amount of thoughtful time utilizingnew technology, automation and is achieving the goal.
We employ electronic edits to flag potential problems before the submission of the claims to the insurance and resolve those issues. The result of these practices helps ELATE in having more than 95 % of claims submissions paid by insurance on the first pass. This allows ELATE to reduce the range of A/R days.
Our custom Electronic Remittance Advice Denial Management Module allows us to see trends, resolve provider/ payor issues quickly and track individual claims until adjudication.
DOWNCODING ANALYSIS AND REPORT GENERATION
Accurate registration data results in reduced denials, fewer rejected claims, less returned statements, and a reduction of other delays that impede the collections process and slow your revenue cycle. We Receive Schedules of patients via EDI, email or fax or check them every day in the appointment scheduling software.