Denials Remediation
Subject Matter Experts address your organization’s complex coding and clinical cases to develop denials management plans to ensure optimal reimbursements.
96% Denied Claims
Recovered on average
$1.7M monthly Front End Edits worked
per client on average
$2.8M monthly Denial Rejections worked
per client on average
Denials Remediation Services
Effective management of patient claims data is crucial to avoid denied claims. Medical claims submitted should be properly measured and categorized for efficient analysis. Root cause analysis by our experienced auditors offers valuable insights toward preventing future denials.
- ProFee Services Edits & Denials
- Denials Appeals Services
- Clinical Appeals Service
- Coding Appeals Service
- Complex Denials Service
- Denials Remediation Program
- Education and Coder Mentoring
- Clean Claims Program
What our Clients say about us:
“North Mississippi Health Services has engaged YES HIM to conduct coding audits to verify compliance and accuracy for accurate and compliant coding. They are a wealth of knowledge, always go above and beyond to ensure we have all the necessary education and tools to get the job done! The timeliness and follow through is unbelievably exceptional. Our coders look forward to the feedback and truly trust in the skills of the auditors. We wouldn’t hesitate to say that YES HIM comes highly regarded and recommended!
How Optimal Quality Coding Prevents Medical Claims Denials
Multiple strategies exist to achieve optimal quality coding in an attempt to reduce costs associated with medical claims edits and denials, and maximize revenue. Effective management of patient claims data is crucial towards this goal. Medical claims edits and denials should be properly measured, categorized, and organized for efficient analysis. Furthermore, the quality of data entered initially upon admission must be greatly improved.
Clinical Documentation Integrity Significance in Revenue Cycle & Denials Management Success in Healthcare
The success of this operation of people and processes is dependent upon the vital information being accurately recorded for claim generation, claim submission, and full payment recompense. Anything short of these operational necessities working collaboratively, will predispose the organization to edits and denials. Review the best practices for getting it right the first time.