Denial Management Services

Achieve lower denial rates, expedite claim processing, accelerate reimbursement, and optimize the revenue cycle with A1mca’s denial management services. We work on identifying the root causes of denials, implementing necessary preventive measures to swiftly resolve denied claims, and allowing your in-house team to devote more time to patient care.

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Outsource Denial Management Services to the Expert

A1mca has provided end-to-end denial management services tailored to healthcare organizations of all sizes for over two decades. Our comprehensive approach involves identifying, analyzing, and resolving claim denials to improve revenue cycle performance and reduce financial losses. To ensure accurate claim processing, we work across various systems, including practice management software, electronic health records (EHRs), and billing platforms.

Our team includes highly skilled claims denial management specialists, revenue cycle experts, medical coders, and billing professionals who work together to optimize claim processing. We also utilize cutting-edge denial management tools such as Change Healthcare, Waystar, and Experian Health; they efficiently track denial patterns, automate appeals, and manage re-submissions precisely. Our experts work on advanced claim tracking platforms to streamline workflows, minimizing payment delays. Additionally, they deploy claim scrubbing technologies like Optum and TriZetto to ensure claims meet payer requirements and reduce the risk of claim rejections.

At A1mca, we prioritize compliance with healthcare regulations and payer-specific guidelines. Our professionals incorporate robust regulatory frameworks to ensure compliance with standards such as HIPAA, ICD-10, and CPT coding requirements. Also, our real-time compliance monitoring and reporting capabilities allow healthcare practices to stay current with evolving payer regulations and reduce the chance of claim denials due to non-compliance.

    Our Comprehensive Healthcare Denials Management Services

    Eligibility VerificationCharge Entry Accuracy ReviewDocumentation ReviewReal-Time Claim MonitoringClaim Denial AnalysisClaims Rejection HandlingDenial CategorizationDenial Tracking and ReportingDenial Mitigation ServicesDenial Trend AnalysisDenied Claim RecoveryAccounts Receivable RecoveryHealthcare Reimbursement ManagementInsurance Claim Denial ManagementRoot Cause IdentificationPayer-Specific Denial HandlingCoordination with Clinical TeamsDenial Prevention AuditsClaims Audit and ReviewDenial Rate ReductionAppeal and Re-submissionAppeal Submission TimelinessCoordination with PayersSecondary Billing and Follow-UpPost-payment AuditsCompliance MonitoringKey Performance Indicator (KPI) Monitoring

    The Invensis Advantage for Revenue Cycle Management Services

    As an HIPAA-compliant outsourced revenue cycle management company, we have over 24 years of experience delivering healthcare revenue cycle management services to US-based health care practices. We have helped our clients adopt best practices, including prioritizing patient care, investing in advanced technology, collecting patient payments upfront, ensuring accurate charge capture, and timely claims filing. Over the years, we have seamlessly integrated people, processes, and technology to adapt to evolving legislation and industry needs. As a result, our RCM management services have helped our clients to eliminate waste, enhance efficiency, and receive comprehensive, value-based support. Our expertise has led to significant success for our clients, including a 20% reduction in claim denials and a 30% increase in collection rates. Outsource revenue cycle management services to us and reap the maximum benefits of back office support services.

    Days in AR
    -45
    Clean Claim Rate (CCR)
    %
    Denial Benchmark
    %
    Net Collection Rate (NCR)
    %
    Contact Information

    You can reach us at:

    D 45 Shyam Vihar Phase 1 Najafgarh New Delhi- 110043
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