- Accordias Healthcare has used existing Denials Management software utilized by our clients and has implemented third party denial solutions for our clients. After review of the denials data, we identify areas of opportunity.
- We resolve most costly and impactful denials through evaluation of denial codes (CARC/RARC) as well as assure correct modifiers are utilized, look at root cause analysis in order to revise upstream processes that are causing the denials. We work with you to evaluate the appeals process, timing, impact by payor to identify ways to strengthen the process and overturn more denials as a result.
- Denials and appeals are one of the most common areas of revenue leakage but are often ignored. Resolution can be a lengthy process and require additional staff. Let us provide you with expertise and knowledge to maximize cashflow, reduce denials, and improve your appeals process.
