Let EHS Be Your Partner In Denial Management, So You Can Focus On
Providing Quality Care To
Experience swift resolution of claim denials with our proactive approach, streamlining processes and boosting cash flow. Take control, unlock profitability, and thrive with EHS. Discover the difference firsthand.
Denial
Management Services by Extended
Health Services
At EHS, we understand that medical billing and insurance claim denials can be a major headache
for healthcare providers. That is why we offer specialized Denial Management Services to help
providers streamline their revenue cycle and maximize their reimbursements.
Our Denial Management Services are designed to help providers identify the root causes of claim
denials and take corrective action to prevent future denials. We have a team of experienced
professionals who are well-versed in the latest billing and coding regulations, and are
dedicated to helping our clients achieve optimal financial performance.
Here is what
you can expect from our
Denial Management Services
At EHS, we are committed to helping healthcare providers optimize their revenue cycle performance through our specialized Denial Management Services.
Identification of Denial Trends
We use advanced analytics tools to identify patterns and trends in your claim denials. This helps us understand the root causes of denials and take corrective action to prevent future denials.
Claims Resubmission
We review and resubmit denied claims on behalf of our clients, ensuring that all necessary information is included in the resubmission to increase the likelihood of a successful appeal.
Appeal Process
We provide guidance and support for the appeals process, including drafting appeal letters and providing any necessary documentation to support the appeal.
Root Cause Analysis
We conduct a thorough analysis of the causes of your claim denials, and work with your team to implement corrective actions to prevent future denials.
Education and Training
We provide education and training to your team on best practices for claim submission and denial prevention, to help improve your overall revenue cycle performance.
Credentialing Process with EHS Medical
Billing Credentialing
At EHS Medical Billing Services, we understand that the credentialing process can be time-consuming and complex. That is why we offer comprehensive credentialing services to healthcare providers and facilities. Our credentialing specialists can assist you with every step of the process, including:
1
Collecting and completing the necessary paperwork and applications
2
Verifying your credentials with insurance companies and other third-party payers
3
Following up with payers to ensure that the credentialing process is completed in a timely manner
Importance of Credentialing in Medical
Billing Efficiency
Credentialing is an essential step in the medical billing process, as it ensures that healthcare providers and facilities are qualified to provide healthcare services. By completing the credentialing process, you can:
1. Increase your revenue by participating in medical billing
2. Increase your revenue by participating in medical billing
3. Increase your revenue by participating in medical billing
Common Challenges in the Credentialing
Process
At EHS Medical Billing Services, our experienced credentialing specialists can help you overcome
these challenges and ensure that the credentialing process is completed in a timely and
efficient manner.
The credentialing process can be complex and time-consuming, and there are several common
challenges that healthcare providers and facilities may face, such as:
1. Missing or incomplete paperwork
2. Delays in the credentialing process
3. Lack of knowledge about the credentialing process
Unlock Your Medical Billing Potential with Our
Comprehensive
Credentialing Services
At EHS Medical Billing Services, we understand the importance of credentialing in the medical billing process. That is why we offer comprehensive credentialing services to healthcare providers and facilities. By completing the credentialing process, you can increase your revenue, establish credibility, and improve patient outcomes. Contact us today to learn more about our credentialing services.
Frequently Asked Questions about Extended Health
Services
Everything you need to know about the Extended Health Services.
Denial management typically involves analyzing denied claims, identifying patterns or trends, appealing denials, tracking appeals, communicating with payers, providing additional documentation, and resolving outstanding issues.
Effective denial management can significantly improve your revenue cycle by reducing write-offs, increasing cash flow, optimizing reimbursement, minimizing administrative burdens, and improving overall financial performance.
It is crucial to address denials promptly to avoid potential revenue loss. EHS has a streamlined process to address denials efficiently and ensure timely resolution.
Absolutely. EHS employs proactive measures to help prevent claim denials in the first place, such as conducting thorough claim reviews, ensuring accurate documentation and coding, and staying updated on payer requirements and regulations.
No, denial management is beneficial for healthcare practices of all sizes. EHS offers tailored solutions that can be customized to meet the specific needs and scale of your organization.
EHS has been providing denial management services for over 10 years. Our experienced team has a deep understanding of the healthcare industry and is well-versed in handling denial issues across various specialties.
Yes, EHS has expertise in managing both medical and non-medical claim denials. Whether it's a denied medical procedure, diagnostic test, or non-medical service like DME (Durable Medical Equipment) or home health, we can assist in resolving the denials.
EHS provides detailed reports and analytics related to denial trends, root causes, appeal success rates, and financial impact. These insights help you identify areas for improvement, measure the effectiveness of your denial management efforts, and make informed decisions to optimize your revenue cycle.
EHS understands the importance of clear and timely patient communication. We work closely with your staff to ensure that patients are informed about the status of their claims, any required actions, and potential financial responsibilities. Our goal is to maintain patient satisfaction while resolving denial issues.
Yes, EHS can assist in implementing denial prevention strategies tailored to your organization. We can review your current processes, identify areas of vulnerability, and recommend proactive measures to reduce the likelihood of claim denials occurring in the first place.
Denial management is an ongoing process. Healthcare practices need to continually monitor, analyze, and address claim denials to ensure optimal revenue performance. EHS provides ongoing support and partnership to help you navigate the complexities of denial management on an ongoing basis.
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