Denials Management
ClearContracts™ for Denials Management for Financial Institutions
ClearContracts™ for Denials Management can help your healthcare clients take the guess-work out of managing denials by providing an automated, user-friendly way to identify, analyze, recover and correct the root cause of denied claims. Given the financial climate of your healthcare clients today, this has never been more important – millions of dollars are lost every year due to denied claims that could have been prevented. Provide your healthcare clients the solutions they need to reduce claim denials and capture every dollar they can.
Providers – Improve Cash Flow with ClearContracts™ for Denials Management
ClearContracts denials management solution is a powerful tool for increasing both efficiency and profitability.
ClearContracts automatically identifies claim denials, by analyzing the payer adjustment codes on the remittance advice, and immediately redirects denials to the appropriate person/department for follow-up and resolution. You can daily track receipt of denied claims and monitor timely resolution via online activity reports.
Denials are captured from all sources (paper and electronic) via EOB Pro. The unification of EOB Pro with ClearContracts makes the ClearContracts system the focal point for capturing all sources of denials, including:
- denial appeal status
- provider and payer responses to authorizations and concurrent
- physicians and departments involved in the denial process
- case-management notes
- level of care determinations
- and revenue lost or at risk
Even more valuable than quick resolution of denials is preventing them. ClearContracts allows you to consistently and reliably track trends. By matching remittance reason codes to payers, you can identify recurring problems and then address them with payers to reduce overall denial rate. Online reporting tools display the denials in multiple formats, so that you can perform root-cause analysis on fully and partially denied claims, identify accountability, and quantify upstream revenue opportunities.
For more information on ClearContracts for Denials Management, please contact us today. Or if you’d like to explore the product in more detail, please visit Concuity, our healthcare division.