Denials Management

Bottom line: Claim Denials erode the bottom line. Even when denials are successfully reclaimed, the costs incurred in the rework reduce profits. Can this be improved?

Yes it can! A large majority of denials are preventable. The automation that comes built-in with Acentus services provides:

• Pre-authorization screening and verification that flags items that require a pre-authorization, and verifies it is in place
• Track, quantify, and report on all denials for all payers
• Payer policy data maintenance of location and payer authorization policies to prevent future payer denials

Additional Denials Management support provided by Acentus include:

• Experts to research and follow through on denials
• Identify trends by payers inappropriately denying claims
• Educate front-end personnel to minimize “controllable” denials