Denial Management

OUR DENIAL MANAGEMENT SOLUTIONS

1

Identifying Denial Reasons

We analyze claim denials by drilling down to the root causes
2

Categorizing Denials

After Analysis the identified reasons are categorized and corrected by respective teams
3

Resubmitting Claims

Claims are resubmitted after receiving the correction from respective departments
4

Developing a Tracking Mechanism

We tackle the resubmitted claims status by regular follow-ups
5

Building a Prevention Mechanism

We create a handy checklist upon the top denial reasons and evaluate how to handle them effectively
6

Monitoring Future Claims

To avoid future denials we have a second level check after analysis on the findings of denial reasons

Minimize Denied Claims & Get Timely Reimbursements

Our company, Ms Billing Solutions, is dedicated to helping healthcare providers receive timely reimbursements by providing effective denial management solutions. Our team thoroughly investigates and reviews denied and rejected claims, resolving them efficiently and addressing the underlying issues. By identifying and resolving the root cause of denied claims, we can ensure that our clients get paid faster.
We also provide comprehensive medical billing and revenue cycle management services for a variety of healthcare providers, including clinicians, practices, and hospitals

Ms Billing Solutions

Customized Reporting

Ms Billing Solutions is a complete medical billing solution that offers a thorough follow-up service for all claims submitted to insurance companies. We ensure that every claim, regardless of its size, is attended to with great attention to detail, in order to maximize reimbursement for the services provided. Our Accounts Receivable Follow-Up services are designed to keep a close watch on the status of every claim until it is processed and resolved, ensuring that your practice receives the highest possible reimbursement.

practice management
denial management
Ms Billing Solutions

Better Collection Rates

Our Denial Management team can assist you in recovering more payments by identifying the underlying reasons for denied claims and providing the necessary resources to resolve them quickly. We use integrated software called MediFusion that automatically routes denied claims to the appropriate staff members, who can then follow up on them immediately and make any necessary corrections
Ms Billing Solutions

Reliable AR Management Services

Ms Billing Solutions provides support in submitting claims that are free from errors, identifying issues with rejected claims, and keeping track of denied claims and non-payments

  • Improve provider documentation and enhance data reporting.
  • In network and out of network AR follow up
  • Workers Compensation Follow up
  • Negotiations with claims adjusters
  • Sending out different levels of appeals when claim is not paid
  • Patient AR Follow up
  • Credit-balance cleanup and audit
  • Old accounts receivables
Provider Credentialing
REVENUE CYCLE MANAGEMENT
Ms Billing Solutions

Rule Based Denial Prevention

Our advanced claim scrubbing tool is designed to detect and correct errors in claims before they are submitted. The tool uses a fully customizable, rule-based system to identify and prevent denials related to coding, LCD policies, payer rules, gender-specific rules, or any other specific rules that may apply to your specialty or practice.