DENIALS & APPEALS MANAGEMENT
Resolve denied claims and gain insights to keep cash flowing smoothly.
Axea reviews denials and related claims and bills, pinpoints the specific documentation or coding issues that lead to denied claims, and develops a remediation plan that enables successful appeals and the claims accepted by the payer.
If denials happen, identifying the cause of the rejection and taking steps to resolve the issue help avoid cash flow problems and keep your revenue cycle running smoothly.
Axea experts review the denial and related claims/bills, pinpoint the specific documentation or coding issues that lead to denied claims, and develop a remediation plan that enables denials to be successfully appealed and the claims accepted by the payer.
Axea’s services also include complete management of the denial and issue resolution process for your organization. Through our review and analysis, we can provide valuable feedback about process and operational enhancements that can improve denial rates.
THIRD-PARTY PAYER AND RAC REVIEWS
Axea provides audit assistance for coding denials as it relates to recovery audit contractors (RAC) and other payers. Our denials management team identifies reoccurring issues for improvement opportunities and delivers feedback to affected departments. We also assist in managing deadlines related to these third-party reviews.
Axea experts review the denial and related claims/bills, pinpoint the specific documentation or coding issues that lead to denied claims, and develop a remediation plan that enables denials to be successfully appealed and the claims accepted by the payer.
Axea’s services also include complete management of the denial and issue resolution process for your organization. Through our review and analysis, we can provide valuable feedback about process and operational enhancements that can improve denial rates.
THIRD-PARTY PAYER AND RAC REVIEWS
Axea provides audit assistance for coding denials as it relates to recovery audit contractors (RAC) and other payers. Our denials management team identifies reoccurring issues for improvement opportunities and delivers feedback to affected departments. We also assist in managing deadlines related to these third-party reviews.
WHY AXEA?
Denial notifications typically arrive with a timeframe by which they must be answered. Axea has the staff to provide rapid turnaround time for denial responses and the clinical knowledge of the common issues questioned by third-party payers.
Denial notifications typically arrive with a timeframe by which they must be answered. Axea has the staff to provide rapid turnaround time for denial responses and the clinical knowledge of the common issues questioned by third-party payers.
ADDITIONAL SERVICES
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CDI
We evaluate, improve, and monitor CDI, so you don’t have to. |
Coding Audit Support
Uncover coding issues that lead to lost revenue and compliance risk. |
Denials and Appeals
Avoid denials and revenue leakage by generating clean claims. |
RCM Consulting
Foster quality and efficiency throughout your revenue cycle. |