AR and Denial Management

AR and Denial Management

1.A/R: Accounts Receivable follow-up process involves the pursuit of an outstanding claim to ensure that the healthcare provider receives payments for the services rendered. This requires the investigation of where the claim is in the cycle, get the correct status of the claim and taking steps to ensure that the claim is adjudicated and paid.

2.Denial Management: Healthcare Providers are getting impacted on account of falling reimbursements rates and shift to value-based care. A strong denial management process can help providers recover more money and shift focus to preventing denials. Each claim denial is posted on the patient’s account in the revenue cycle system. Errors are reported to the front office and billing staff so that the errors are not repeated.

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