Denial Management

Electronic Remittance Advices and even Paper RA’s provide a tremendous amount of information that can be utilized to identify claim status and assist in overturning denials.

How do you manage your denials?
How do you track denied related activity?
What Action can be taken?
Are there reports to assist you?

Premiers Denial Management Software allows the facility to automatically produce Denial Work Lists that are assigned based upon file maintenance options. Users can work denials without ever leaving the IBM’s System i5 (AS400) platform and is seamlessly integrated with MS4. Automatically assign accounts to account representatives based on denial reason codes as well as hospital-defined criteria. Take actions to create adjustments, appeal, overturn, or close carrier etc. All activity is recorded and logged for review.

What are the benefits of this product for you?

• Reduce your recurring denials
• Improved cash flow
• Reduced A/R days
• Resolve denial issues.