Denials Remediation

Subject Matter Experts address your organization’s complex coding and clinical cases to develop denials management plans to ensure optimal reimbursements.

denials remediation

How to improve financial performance with Denials Management?

Denied claims are an important and, fairly often, unpredictable financial burden on healthcare organizations. YES HIM Consulting's denials management solutions increase payment recovery rates for clients and partners. Our team of experts can identify the reasons for denials and offer effective solutions, as well as provide HIM quality solutions to prevent future denials.

Denied Claims

96% Denied Claims

Recovered on average

Front end edits

$1.7M monthly Front End Edits worked

per client on average

Denial Rejections

$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!"
 

Alyssa Geiger, Surgical Abstraction & Coding Manager, USFTGP, Tampa, FL

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.

Our Services

Auditing

Education

Coding Support

Coder Mentoring

Denials Remediation

Consulting & Staffing

HOW CAN WE HELP? LET’S DISCUSS!

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