Networth RCM helps with Denials and Appeals Management, so you can focus on growing your business

The Denials and Appeals Management solution is a powerful human resources management suite that can help you automate and streamline the tedious, manual process of requesting and processing employee appeals. The Denials & Appeals Management product helps you manage denied claims, reduce erroneous denials and achieve better customer satisfaction ratios.

Denial Management is an essential element of the end to end medical billing. It is responsible for submitting appeals and minimizing payment rejection rate by investigating and reconciling rejected healthcare claims. An effective denial management system will ensure streamlined RCM processes and result in increased reimbursement for the healthcare provider. The Networth RCM‘s denials and apeals management is able to investigate and analyse denied, partially paid or underpaid claims; determine reasons for denials and take corrective action. The team communicates with patients and insurance companies on a regular basis and takes appropriate action based on their input or reactions. The ability and quality of services provided by the denial management team can assist in determining a healthcare provider’s financial health.

The Denial Management in healthcare determines the reasons for denials, makes adjustments, and resubmits claims to payers with reconsideration or appeal as needed. The Denial Management team communicates with patients, healthcare providers, and insurance companies on a regular basis and takes appropriate action based on their input or reactions. The ability and quality of services provided by the denial management team can assist in determining a healthcare provider’s financial health.

When claims are held in doubt for an extended period of time because more information is needed from the person covered by insurance, the rejection team can contact that person or the doctor and speed up payment. You will be able to handle claims that are held in uncertainty due to the necessity for further information from the member by advising them of the situation, and then taking appropriate measures to expedite the payment process.