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:
“I am writing to express my sincere gratitude for the exceptional support and expertise provided by YES consultants. Their contributions have been instrumental in communicating coding guidance and identifying documentation opportunities to our surgeons. Their professionalism and ability to effectively communicate with our providers are truly top-notch. The feedback from our surgeons has been overwhelmingly positive, with many expressing how helpful and insightful their discussions have been. The in-depth feedback on their surgical cases has been particularly appreciated. Our organization, and I personally, are extremely grateful for their dedication and the positive impact they have made. Their efforts have significantly enhanced our coding practices and overall documentation quality. Thank you for having such outstanding team members!"
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.