Denial Management Services
Don’t leave money on the table.How AAPC Can Help Your Organization
Enhance your revenue health with proven denials management solutions. Complex and denied claims can result in significant revenue leakage and resource-intensive resolutions. With AAPC's expert denials team, you can experience reduced write-offs, win appeals, and prevent future claim rejections.
Clinical Appeals
Let our experts handle your clinical appeals, ensuring a seamless and effective process. With a deep understanding of medical necessity, insurance procedures, and regulatory requirements, AAPC professionals will provide comprehensive support in constructing compelling appeals maximizing your chances of overturning denials and securing approval for vital healthcare services.
Appeal Opinions
Entrust our dedicated team to expertly navigate your denials, meticulously discerning which merit an appeal. Specializing in unraveling the intricacies of denied cases, we conduct a thorough analysis to identify appealable denials. Our unwavering commitment to precision and expertise empowers us to streamline the process, effectively categorizing your denials into those eligible for appeal and those that are not.
Appeals Support
Elevate your appeals process with our expert support services. We specialize in crafting compelling appeals by combining a deep understanding of medical nuances, regulatory requirements, and insurance intricacies. Our seasoned team meticulously reviews denials, assembling a robust case that maximizes the chances of success. From precise documentation to persuasive arguments, we navigate the complex landscape of appeals, ensuring your case is presented with clarity and expertise.
Denial Analysis
Maximize your revenue potential by uncovering the root causes of claim denials with AAPC's denial analysis services. We’ll identify trends that disrupt cash flow and lead to write-offs and collaborate with you to implement solutions for common issues, such as coding errors or missing patient information.
Denial Management Tool
Prioritize denied claims and quickly resolve them with AAPC’s Denial Management e5 tool. This advanced AI platform not only boosts billing team productivity by automatically assigning tasks based on your priorities, but also provides analytics tailored to specific requirements, ensuring timely filing and efficient document management. Experience a tool designed to streamline your denial management process for improved financial success.
Prior Authorization Management
Timely Filing
Appeals
Denial Pre and Post Billing
Productivity Prioritization
Rejection Management
A/R Management
Refunds Management
Front-end / Back-end Process Prioritization
RCM Items Requiring Human Touch
Team Skillset Prioritization
Dashboard and Team Productivity Reporting