Denials Management

Case Study: Acute care facility leverages expert resources to successfully appeal clinical denials

November 11, 2022

Acute care facility leverages expert resources to successfully appeal clinical denials. Case Study Acute care facility leverages expert resources to successfully appeal clinical denials. A 200-bed, $509M NPR client lacked resources able to review and resolve their large volume of denials, nor did they possess the skill set to determine plausibility of certain clinical appeals.…

Case Study: Safety net system transforms denial backlog into $20M+ gain

November 11, 2022

Safety net system transforms denial backlog into $20M+ gain. Case Study Safety net system transforms denial backlog into $20M+ gain. This 800-bed, $532M NPR safety net system struggled with retaining the resources needed to address an immense denial backlog and lacked visibility into their root causes. This threatened cash collections and financial viability of the…