Integrated Revenue Solutions Denial Management

Health Solutions

November 18, 2013

O continue to experience inefficiencies and revenue leakage as a result of recurring denials. Our approach to building and supporting denials management programs utilizes proven techniques and technology to identify and resolve root-cause issues, resulting in increased net revenue, minimal manual intervention and reduced cycle times.

FTI Consulting’s Denial Management program consistently produces sustainable cost reductions and financial benefits ranging from 3% to 5% of net revenue within 12 months.

FTI Consulting utilizes a systematic approach to develop an effective denial management program within your organization.

Denial Prevention: Using 835 data, we quantify preventable denials, map the opportunity to payers and departments, and identify root-causes. The analysis isolates opportunities to resolve system issues, process improvements and educational opportunities to reduce bill edits, payer rejections and denials.

Denial Management: Using existing patient accounting system or our Denialware system, we develop best-practice strategies to improve automation and efficiency in processing denials and appeals. Our ANSI mapping activates core process improvement resolution throughout the entire Revenue cycle.

Reporting: In order to ensure sustainability, multi-level dashboard reporting is developed to allow leadership to monitor key denial trends with account level detail at the push of a button. Dashboards display problematic areas with denials and accounts receivable providing the tools to address specific areas of focus.


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