- Simple
- Secure
- Affordable
- HIPAA Compliant
- Flexible and customizable
- User friendly for efficient documentation
- Cost Effective
- Automates and streamlines your Practice
- Accessible anywhere, at anytime
- No hardware required
Denial Management Module |
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For Denials makes the task of handling denied claims manageable by deploying a comprehensive denial database and tracking system.
The comprehensive system is comprised of reasons for denial; denial appeal status; provider and payer responses to authorizations and concurrent denials; physicians and departments involved in the denial process; case-management notes; level of care determinations; and revenue lost or at risk. The database and tracking system was designed to have a tangible impact on organizational performance.
The module help with denials by focusing on the causes as well as tracking the impact on your organization before and after detection.
With MDCare+ denial management for Denials you can:
The comprehensive system is comprised of reasons for denial; denial appeal status; provider and payer responses to authorizations and concurrent denials; physicians and departments involved in the denial process; case-management notes; level of care determinations; and revenue lost or at risk. The database and tracking system was designed to have a tangible impact on organizational performance.
The module help with denials by focusing on the causes as well as tracking the impact on your organization before and after detection.
With MDCare+ denial management for Denials you can:
- Maximize cash flow
- Identify the root cause of denials
- Support accurate workflow priorities and scheduling for follow up
- Provide accurate and timely statistics for executives
- Track and prioritize denials
- Avoid out-of-timely filing
- Analyze the effectiveness of denial resolutions
- Identify business process improvements to avoid future denials
- Information Capture: 100% of A/R data is captured and scrubbed to validate all transactions including payments, adjustments, reason/remark codes, co-pays, co-insurance, deductibles, and allowed amounts. A rules based interface consistently posts accurate data for efficient follow-up and reporting.
- System Integration. Reduce disparate departmental information systems and seamlessly share and access revenue cycle data across a common platform.
- Workflow Automation. Dynamic worklisting and rules-based automation emulates human activity to create standard and repeatable processes and procedures in areas such as eligibility verification, denial management, and aged account collection.
- Reporting. Use a single reporting system to drill down and analyze key performance indicators and deficient trends within the revenue cycle.