Mitigate The Risk of Future Denials
Enhance Claims Efficiency with Allzone's Denial Management Services
Outsourcing denial management services help to identify and eliminate the root cause of a denied claim, which will lead to more accurate and efficient claims processing. Allzone Management Services is an organization that specializes in denial management and provides services in the areas of healthcare, insurance, and benefits. We have a team of professionals who are trained to identify the root causes of denied claims. We work on eliminating those root causes by using their expertise and industry knowledge. We have been providing effective denial management solutions for over 10 years now. Our denial management solutions have helped many organizations improve their claims processing accuracy rates.
Benefits of Outsourcing Denial Management Services
Denial Management Process
Outsourcing denial management services is a process that helps to reduce the number of denials received by a healthcare provider.
Denial management can be achieved through various methods such as:
Why Choose Us for Your Denial Management Needs?
Allzone Management Services is a leading denial management service provider in the industry. Our experts are committed to helping you manage your denial management services efficiently and effectively. We are well-known for our expertise in handling claims and ensuring status on time.
Some of the benefits of outsourcing denial management from us:
Denial Management Services
The most crucial aspect of healthcare revenue cycle management is denial management. When insurance companies decline an average of 9% of claims, healthcare organizations must concentrate on the root cause and denial avoidance to maintain a healthy cash flow.
A claim rejection occurs before it gets processed and commonly occurs due to inaccurate data. On the other hand, claim denial refers to a claim that has been evaluated and determined to be unpayable. That can be due to the terms of the patient-payer agreement or other issues that arise during the processing.
- Demographic data is incorrect. It's a very typical and simple problem that arises while filing claims.
- Claims with incorrect provider information. Provider information such as an address, NPI, and so on is incorrect.
- Coding and Billing errors.
- Patient Coverage eligibility.
- Claim was not submitted on time.
Payer ID is either missing or incorrect. The billing provider's NPI is either absent or incorrect. On the service date, the diagnosis code was invalid or an ineffective duplicate claim.
Medical claims that have been received and processed by the payer but have been categorized as unpayable are known as denied claims.
Use a patient portal to keep their information up to date. Even a single mistake in a claim can result in denial. Take the time to double-check and verify patient information to limit the number of claims that are refused. Keep the billing team informed about the policies, and train employees to improve the quality of patient data.
- It was necessary to obtain pre-certification or authorization, but it was not obtained.
- Errors on Claim Forms: Patient Information or Diagnosis/Procedure Codes
- The Claim was Filed After the Insurance Company's Deadline
- Medical Necessity is insufficient