In a typical healthcare system, about 20% of rejected claims are never resubmitted. A maze of policies, billing requirements and regulations, as well as complex managed care contracts contribute to the number of denials that go unattended. A Denial Management system can help you take control of your denials for more efficient claims processing and accelerated reimbursements.

Per-Se’s Denial Management solution can help you quickly uncover and correct the problems that lead to denials, so you can shorten your revenue cycle and enhance your cash flow.  It allows you to develop crosswalks between individual payer codes and common denial reason codes for trend tracking.  With these capabilities, you can reveal billing, registration and coding process weaknesses that could otherwise tie up millions of dollars in unpaid claims. You can also identify which payers or insurance companies have historically denied payment, as well as which departments in your facility are encountering a high volume of denials. With access to such critical information you can improve your claims processing to not only recover lost revenue, but increase the likelihood that your claims will be accepted on first submission.

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