Coding Denial Management Services
Improve Revenues by addressing claims denied due to Coding issues
Claim denials due to coding issues are a major challenge in healthcare revenue management. While the most efficient way to maximize revenue is to ensure that initial claims are paid accurately, a significant portion of denials (over 10%) still occur even for well-managed revenue departments. Each denied claim must undergo a thorough analysis to identify the root cause of the denial. If the issue stems from incorrect coding or coding-related matters, a comprehensive approach is necessary.
This involves obtaining medical records, scrutinizing assigned codes, evaluating clinical documentation, and making coding adjustments based on specific payer guidelines before resubmitting the claim. This process is time-consuming and resource-intensive for the coding team. At Soho Tech Services, we understand the challenges of coding denials and offer comprehensive management solutions to ease the burden of this labor-intensive process. Our expert team also provides coding audit solutions to proactively prevent coding denials and their impact on your business’s success. Trust us to help you significantly mitigate the risk of coding denials.
Did you know? Providers do not resubmit or appeal as many as 65% of claims denied!
As a result of the significant resources needed to appeal denied claims, providers often choose not to resubmit or appeal up to 65% of these claims. Revenue cycle administrators commonly cite a lack of staff and certified medical coders as the primary reasons for this. Since maintaining daily operations is a top priority, the emphasis shifts to processing newer claims rather than dealing with denied ones.
Our Denial Management Services
Experience cost-effective denial management with Soho Tech Services. Our skilled team offers efficient processing, specialized denial management knowledge, and competitive offshore pricing. Our strategic training programs and well-defined policies and protocols for handling denial codes enable us to quickly identify claim issues and efficiently recover lost revenue for you. Trust us to manage your denials and maximize your revenue collection.
Medical Coding Expertise:
“At Soho Tech Services, we have a team of certified coders who specialize in addressing coding-related claim denials. Their extensive experience in specific specialties allows them to efficiently identify and resolve any coding issues. By utilizing the appropriate medical codes and modifiers according to AMA guidelines, as well as implementing CCI edits, our coders can significantly improve reimbursement rates and decrease the need for coding
denial management. Trust in our expertise in medical coding and denial management to optimize your reimbursement process.”
Benefits of our Coding Denial Management Services
We bring the following benefits to customers utilizing our Coding denial management services:
- Improve revenue realized by resubmitting denied claims
- Access to a team of certified coders.
- Reduced Days in AR.
- Shift focus to denial prevention.
- Improve cash flow.
- Reduce Costs to Collect.
We also provide payment posting services. For more details, please visit our page.
