Denial Management Services

Denials and appeals management services that help healthcare providers increase claims rate, manage denied claims, and handle appeals better than ever.
Do you know as per a survey conducted by premierinc showed that about 15% of claims submitted are initially denied? How to manage denied claims? What role does smooth denial and appeals management plays in building a practice’s financial health?

Call Us when you Need Help!

Support: (469) 421-2777

Our Services Include

Denials and Appeals Management

We have a team of denial management specialists at HelloMDs who not only increase clean claim rate but also develop strategies to address and prevent denials in an effective manner. In the long run this helps in improving financial health of healthcare practices.

Payer Audit Services

Our team conducts thorough audits to identify discrepancies and ensure compliance with payer requirements, minimizing the risk of future denials.

Continued Maintenance

We continually optimize your workflows and system edits to adapt to changes in regulations and payer policies, enhancing your operational efficiency.

Improve Clean Claims Rates

1 %

Customer Satisfaction is Our Success

Denials management is crucial in healthcare, as it directly impacts your clean claims rates. Our targeted strategies focus on identifying the root causes of denials and implementing solutions to reduce their frequency. By improving your clean claims rates, we help you save time and resources while maximizing your revenue.

As per a report shared on ajmc patients who experience claim denials reported pretty less, even in cases when there claims were accepted after a while.

Compliance Support!

Our program ensures that you stay compliant with industry standards and payer regulations. We regularly review your claims processes and provide updates on changes in requirements, helping you avoid penalties and maintain a solid financial position.

“Let Us Handle the Burden”

At HelloMDs, we can offer tailored denial management solutions that match specifically to your needs. Managing denials can be a significant strain on your staff. Our dedicated team of denial management specialists will handle the complexities of denials management, allowing your staff to concentrate on what matters the most – providing exceptional patient care.

FAQs About The Service

What is Denial Management?

Medical billing denial management involves checking, resolving, and controlling denied insurance claims for healthcare services rendered by healthcare providers.

Can we appeal on a rejected claim?

Yes, however, if a claim is rejected, workers must inspect it to determine its validity and correct any errors before resubmitting it.

How can we prevent future denials?

We can prevent future denials by training staff on precise medical coding practices, talking with the supporter about refining documentation, or executing better patient correctness verification processes at the front desk.

Which medical billing company has the best denial management service?

HelloMDs is one of the top companies in terms of denial management.

How to get denied claim payments?

To recover denied claim payments, first review the denial reason. Address the issue promptly by correcting any errors and resubmitting the claim or appealing the decision with the necessary documentation. Keep in mind that you will need more information this time as compared to the one original form.

How can I reduce the number of claims denials in my practice?

Reducing claim denials requires proper coding and documentation, training staff regularly, implementing a thorough verification process, and using technology to catch errors early. For practices that find it difficult to cope with new regulations and stick to strict rules, outsourcing medical billing to HIPAA-compliant companies can be a good option. Request your no-obligation quote now.

How long does it take to submit a claim

The claims should be submitted with in 24 hours to get the maximum result and payments in timely manner. we at HelloMDs make sure to submit a claim with in 24hours and our first pass ratio is 97%.

Which denials are recoverable?

Recoverable denials often include those related to coding errors, eligibility issues, authorization denials, when claims appear to be duplicates, claims filed with delay, and the ones that require additional documentation. At HelloMDs we access each claim individually and increase your revnue but collecting dead claims and denials.

How to submit a redetermination request?

To submit a redetermination request, You need to follow the payer's specific guidelines, including required documentation and timelines.

Working with HelloMDs can help improve the accuracy of your claims, leading to fewer denials and reduced redetermination rates overall.

What is an ALJ hearing?

An Administrative Law Judge (ALJ) hearing is a formal process where Medicare and Medicaid denied claims can be appealed. It’s an opportunity to present your case for reconsideration. At HelloMDs we handle such cases very efficiently and help you recover your all claims without any denials.