Boost Your Revenue with Efficient Denial Management Solutions

Our Experts Track Every Claim Using Simplified Approach for Effective Aging AR Recovery

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Customized Reporting

Prospect Health care solutions is a complete medical billing solution as we frequently follow-up on each and every claim submitted to insurance company until it is processed and resolved. Be it big or small, Prospect Health care solutions A/R Follow-Up services has an attention-to-detail approach to ensure your practice receives the highest level of reimbursement possible for your services.

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Better Collection Rates

 

Our Denial Management team can help you increase payment recovery by spotting the root cause of all denied claims and providing the necessary tools to facilitate timely resolution.  With our integrated suite of software MediFusion, denied claims are automatically routed to appropriate staff members for immediate follow-up and systematic corrections.

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Rule Based Denial Prevention

Our top of the line claim scrubbing tool ensures that we not only spot errors in claims before submission but fix it systematically. Our fully customizable rule based system is designed to prevent denials related to coding, LCD policy, payer, gender specific rules and any other rule that may be specific to your specialty type or practice. 

OUR DENIAL MANAGEMENT Solutions

Treatment Plans

Identifying Denial Reasons

We drill down to the root cause for which the claim was denied.

Resubmitting Claims

Upon receiving the claims from respective departments, they are resubmitted again for a claim.

Categorizing Denials

The identified reasons are then categorized and assigned to respective teams for corrective action

Building a Prevention Mechanism

Preparing a handy checklist on top denial reasons and how to handle them.

Developing a Tracking Mechanism

Tracking the status of the resubmitted claims with regular follow-ups.

Monitoring Future Claims

Creating a second level check based on the findings of denial reasons to avoid future rejections.

Minimize Denied Claims & Get Timely Reimbursements

We, at Prospect Health care solutions, ensures that our client get paid faster by providing efficient Denial Management solutions to resolve, as well as, address the root cause of every denied and rejected claim. Our dedicated team investigates and reviews all denials, efficiently resolving and resubmitting insurance claims. We systematically identify and address the issue so you can get paid in on time.

We provide comprehensive medical billing and revenue cycle management for clinicians, practices, and hospitals.

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Reliable AR Management Services

Prospect health care solutions assists you in submitting error-free claims, analyzing rejected claims, and tracking down denials and non-payments. Our top of the line and quality Medical Billing AR  services include:

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