Overview

Stop working in denial.

Even on the best of days, the last thing you want to deal with is a denied insurance claim. They’re costly, time-consuming and disrupt your revenue cycle. With our Denial Management solutions, you won’t have to worry any more. By identifying and eliminating the root causes of denied claims, we can help you significantly increase your cash collection, maximize reimbursement, and improve overall revenue cycle efficiency.

Revenue Leakage from Claim Denials

Unresolved claim denials lead to significant revenue leakage, undermining the financial health of healthcare providers. Address this challenge with solutions designed to prevent and resolve denials efficiently.

Documentation Errors Cause Denials

Incomplete or inaccurate documentation is a leading cause of claim denials. Our advanced documentation validation tools ensure claims are accurate, reducing denial rates from the outset.

Manual Denial Resolution Drains Resources

Manually resolving denied claims consumes valuable time and resources, pulling your team away from core priorities. Our automated workflows simplify denial resolution, allowing your staff to focus on strategic tasks.

Analytics Insights Empower Prevention

Lack of insight into denial causes can hinder prevention efforts. Our analytics tools provide actionable insights into root causes, enabling effective denial prevention strategies and continuous process improvement.

Features

The solution’s customizable three-step process delivers a tangible decrease in denied claims, allowing your staff to focus on the tasks that really matter.

• Accounts Receivable Days – 40 Days Accounts Receivable > 90 Days: 17% Denied Claims Upon First Submission: 4%.
• Time period flexible and include a shared risk model.
• 1 in 4 acute hospitals across 50 states call TruBridge a partner.
• RCM software and service have been HFMA® Peer Reviewed.