Increase your revenue with efficient denial management solutions
A simplified approach is used by our experts to track every claim for effective aging AR recovery
DENIAL MANAGEMENT SOLUTIONS by Zyrex Claims
Using Zyrex Claims Medical’s billing and coding services, you can run your medical practice efficiently as well as grow it. Medical billing software provided by us can assist you in managing all patient data, increasing your practice profitability, increasing the number of patients, increasing collection rates, and reducing denied claims by improving practice profitability.
1. Determining the reasons for denial
In order to understand why the claim was denied, we investigate the root cause.
2. Identifying and categorizing denials
Once the reasons have been identified, they are categorized and assigned to the appropriate teams for correction.
3. Claim resubmission
We resubmit the claims once we receive them from the respective departments.
4. Establishing a tracking mechanism
Regularly monitoring the status of resubmitted claims.
5. Implementing a prevention strategy
Creating a handy checklist of the most common denial reasons.
6. Keeping an eye on future claims
Establishing a second level of check based on the reasons for denial in order to avoid future rejections.
Make sure denied claims are minimized & reimbursements are received in a timely manner
As a Zyrex Claims, we make sure that our clients receive payment faster by providing efficient Denial Management solutions that resolve, as well as, address the root causes of denied and rejected claims. In order to expedite the payment of insurance claims, our dedicated team investigates and reviews denials, efficiently resolving and submitting insurance claims. Our team identifies and addresses the issue in a systematic manner in order to ensure timely payment.
Clinicians, practices, and hospitals can benefit from our comprehensive medical billing and revenue cycle management services.
Reporting on a customized basis
Our complete medical billing solution includes frequent follow-up on every claim submitted to the insurance company until it has been processed and resolved. Zyrex Claims A/R Follow-Up services are designed to ensure that your practice receives the highest level of reimbursement for your services regardless of how large or small the case may be.
Improved collection rates
By identifying the root cause of all denied claims and providing the necessary tools to facilitate timely resolution, our Denial Management team can assist you in increasing payment recovery. Through MediFusion, the integrated suite of software we provide automates the routing of denied claims to appropriate staff members for immediate follow-up and systematic corrections.
Providing reliable AR management services
Providing top-of-the-line and quality Medical Billing AR services, Zyrex Claims can help you submit error-free claims, analyze rejected claims, and track down non-payments. Our Medical Billing AR services include:
Improve provider documentation and data reporting In network and out-of-network AR follow-up
Workers’ Compensation follow up
Negotiations with claims adjusters
Sending out different levels of appeal when claims are not paid
Patient AR follow up
Credit balance cleaning and audit
Old accounts receivable
Denial prevention based on rules
We utilize a top-of-the-line claim scrubbing tool to ensure not only that claims are spotted before submission, but that they are also systematically corrected. In addition to preventing denials based on coding, LCD policies, payers, gender-specific rules, or any other rule that may be specific to your practice or specialty type, our fully customizable rule-based system can be customized according to your specific needs.
