Denial & Appeals Management
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Claim denials can create financial setbacks and administrative burdens for healthcare providers. Our Denial & Appeals Management service ensures that denied claims are efficiently reviewed, corrected, and resubmitted to maximize reimbursement and minimize revenue loss.
With a proactive approach, we identify the root causes of denials, implement corrective actions, and streamline the appeals process to improve claim acceptance rates. Our goal is to help healthcare organizations recover lost revenue while maintaining compliance with payer regulations.
What We Offer:
- Denial Analysis & Root Cause Identification: Identifying common reasons for denials, such as coding errors, missing documentation, or policy non-compliance.
- Automated Denial Tracking: Real-time monitoring and categorization of denied claims for quick resolution.
- Appeals Preparation & Submission: Crafting detailed, well-supported appeal letters with required documentation for successful reconsideration.
- Payer Communication & Follow-Ups: Coordinating with insurance providers to resolve disputes and ensure faster claim approvals.
- Compliance & Documentation Support: Ensuring claims meet regulatory and payer-specific guidelines to prevent future denials.
FAQ on Denial & Appeals Management
Other Services
- Candidate Generation & Reactivation
- Compliance & Maintenance
- Booking Solutions: 24/7 Support
- Payroll Solutions and Credit Control
- Customized Accounting Services
- IT Support & Software Development
- Patient Management
- Claims & Billing
- Denial & Appeals Management
- Payment & AR Management
- Credentialing & Compliance
- Data & Reporting
Why Choose CCMS ?
Expertise You Can Trust
Over 10+ of experience in payroll and credit control
Secure & Confidential
Advanced security protocols to protect your sensitive data.
Cost-Effective
Customized services to fit your business needs.
Co founder & MD at Nexere Consulting
Since our initial engagement, CCMS has been professional, transparent, and communicative, ensuring we understand their offerings, timelines, and service transitions.
CEO, NED, and Founder of Nexere Consulting
Working with CCMS for several years has been a fantastic experience. They've supported us in various departments, including resourcing, compliance, sales support, and consultant roles. Their communication is top-notch.
CEO Novello Healthcare
Partnering with CCMS has been a game-changer for us. Within three months, our CCMS team cleared 50 nurses to NHS standards, with 23 out of 24 nurses rating them 10/10.
MD Candy Healthcare
CCMS is not just an outsourced partner but a fully fledged part of our business. They deliver across multiple areas for our sector; compliance, resourcing, bookings and payroll.