Denial Management

Identify the underlying reason. Address the problem. Generate income. Concentrate on preventing denial.

Rejection management and denial management are sometimes confused. Rejected Claims are those that, due to mistakes, were not submitted to the payer’s adjudication system. These claims must be corrected by the billers and resubmitted. On the other hand, denied claims are those for which a payer has made a decision and rejected the payment.
Both refused and rejected claims should cause worry for healthcare businesses. The claims rejection management process offers insight into the claim’s difficulties and a chance to fix them. Denied Claims signify lost or delayed income (if the claim gets paid after appeals). Both refused and rejected claims should cause worry for healthcare businesses.
The claim’s faults are understood during the complaints rejection management process, giving you a chance to fix them. Denied Claims signify lost or delayed income.

Offerings of Our Denial Management Services

The Orbitus denial management team is composed of seasoned experts who:
We are aware that every rejection situation is different. We amend erroneous or invalid medical codes, offer supporting clinical evidence, challenge any prior authorization denials, comprehend any legitimate denial situations so that patients may take responsibility, and follow up successfully.
All clinical data is re-validated before being submitted again.
We collaborate with you as an additional billing office to study your rejected claims and gradually lower the denial percentage.

Making an appeal

We review the grounds for denial, write appeal letters, resubmit the claims with clinical data attached, and send the fax appeals in a format that is particular to the payer.

Analytics Can Help You Lower Denials

Claim denials might be the outcome of several revenue cycle chain component operations. Denial problems frequently relate to certain facilities or practices. We are aware of the patterns in claim denials, and we’ve started an iterative approach to minimize them by focusing on their root causes.

Our Denial Management Process

Benefits of using Orbitus Solutions' Denial Management Process

The following advantages are provided to our clients by our comprehensive A/R and denial management services:

Other Services

Frequently Asked Questions

You can get snapshot of the station using programs like CPUZ. We can also scan the sales invoice from the computer vendor if you need it.

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Let’s see what our client says

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Support

All services are backed by highly skilled experts who keep everything under control and organized.

Network

Our multi-node network connectivity is redundant and fail-safe since we guarantee service level.

Solutions

We identify answers. What we do is that. We always locate it, regardless of how unimportant or seemingly difficult it may be.

Performance

We are aware that you have high standards for performance. We are at that level because of our support staff.