Denial Management is a critical component of a healthy Revenue Cycle. With insurance companies denying an average of 9% of claims submitted, healthcare organizations must focus on root cause analysis and denial prevention to ensure healthy cash flow.

Denial Management Services

Every medical practice experiences claim denials. How those denials are handled sets exceptional healthcare organizations apart from the rest. Dealing with claim denials can be time-consuming and divert attention from what matters most. Leverage Zephyr Health Management Service to quickly identify the causes of denials, mitigate future risks, and get paid faster.

Focus on What Matters

Healthcare organizations are paid to care for patients, not to chase down insurance companies. Zephyr Health Management Service’s systematic best practices and proven methodology bring excellence to your revenue cycle management, including the denial management process. Gain insights into why claims are denied, learn how to avoid future denials, and expedite payments.

A Systematic, Hands-On Approach

Every patient and denied claim is unique. Zephyr Health Management Service employs a systematic, hands-on approach to ensure each claim receives the necessary attention for quick resolution while adhering to strict best practices. This ensures maximum results and efficient collections.

Denial Management Services Include:

• Analysis: Each claim is analyzed and researched by a Zephyr Health Management Service associate to determine the best course of action.
• Workflow: Prioritize claims based on payer, amount, age of bill, or other business rules to ensure maximum benefits.
• Prevention: Improve the health of your practice and prevent future denials with suggestions for process improvements.

Did You Know?

90% of claim denials are preventable. Stop leaving money on the table and talk to our team today!

Story Spotlight

Objective

Find and capture savings.

The customer needed to improve overall cash flow and enable easier access to revenue. It was essential to identify inefficiencies and enhance efficiency in areas burdening financial growth.

Solution

In approximately 30 days, Zephyr Health Management Service experts conducted a comprehensive assessment of the organization’s AR footprint. The assessment revealed substantial opportunities to improve cash flow in multiple areas totaling $10 million.

Contact Us

Learn how Zephyr Health Management Service’s Denial Management Services can optimize your revenue cycle and improve your financial outcomes.