Trouble with claims being denied?

RelayHealth Financial has launched an automation tool to help identify, create, file and track appeals for denied claims.

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6.4% of of claims are rejected on the first submission. Relay Health thinks that two thirds of rejected claims are recoverable.

Many providers have trouble with rejected claims. They think they have submitted clean claims, yet are frustrated with denials.

McKesson launched RelayAssurance Appeals Assist to identify denied claims, and then to appeal the claims. The tool also helps providers to stay on top of the appeals.

The company believes the tool will help providers to collect on money owed.

Providers should focus not only on pre-submission of claims, but should focus on claims throughout the submission process.

This is the best way to ensure that your practice has an effective denial prevention strategy.

RelayAssurance Appeals Assist offers:

  1. Integrated Denial Management – to identify when an appeal is necessary, then create, print, and file the appeal.
  2. Forms Library – standard forms are built in for efficiency.
  3. Appeals Dashboard – icons are built in to ensure active management of appeals.

Appeals Assist is the latest module available to users of RelayAssurance Plus.

Do you have a problem with clean claims getting denied? What do you do to ensure your claims get paid?

In our next blog post, we will keep you informed of related issues.  To get this important information delivered directly to your mail box, 

Do you need help staying current and compliant with the latest laws, rules and regulations?  We can help. To contact us about your new government rules and regulations, your practice’s risk assessment, or about your other legal needs:  CLICK HERE.

P.S. If you or your patients are interested in consumer healthcare issues, check out myhealthspin.com.

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