Denial Management Services

Reduce claim denials and boost revenue recovery with our proactive denial management services. We identify root problems, implement corrective actions, and turn challenges into revenue opportunities.

Denial management in medical billing helps healthcare providers handle rejected claims or underpayments by insurance companies. This service identifies the reasons for denials, takes appropriate actions to correct and resubmit claims, and follows up with insurance companies until claims are settled or paid.

Our Services

We understand the challenges healthcare providers face with claim denials. Our denial management service helps reduce denials, enhance collections, and improve the medical billing revenue cycle.

Benefits of Our Services

• Time and Resource Savings: Our dedicated team of denial management specialists handles denials efficiently, improving your cash flow and revenue by recovering denied claims.
• High Success Rate: We excel in appealing and resolving denials, helping you get paid faster and more accurately.
• Improved Patient Satisfaction: By reducing billing delays and errors, we provide a transparent billing experience, minimizing financial issues for your patients.

Our Denial Management Process

• Analysis and Review: We analyze your denial data to identify root causes, such as coding errors, eligibility issues, authorization problems, or payer policies.
• Appeals: Leveraging our expertise with various payers, we appeal denials and follow up until they are resolved and paid.
• Tracking and Reporting: We monitor and report on denial and appeal metrics, offering actionable insights to prevent future denials and improve billing operations.
• Staff Training: We train your staff on best practices to avoid denials, including verifying eligibility, obtaining prior authorization, demonstrating medical necessity, and accurate coding.

Why Choose Seville Medical Solutions?

• Expert Team: Our specialists understand payer rules and regulations, handling denials and appeals efficiently.
• Comprehensive Service: From analysis to appeals to education, we cover all aspects of denial management, helping you recover denied claims and prevent future denials.
• Proven Success: With a high recovery rate and low denial rate, we have helped numerous healthcare providers improve their cash flow and revenue.

If you're looking for a reliable and skilled denial management partner, Seville Medical Solutions is here to help you achieve your revenue cycle goals with the best denial management solutions.