TRACK
Tracks & Categorizes every Denial, by ANSI Code, by Insurance, and by CPT.
Quickly identify and successfully overturn denied claims in a timely manner with denial management tool
When a claim is denied, it means that the insurance company has determined that it does not meet the necessary criteria for reimbursement.
Shed worries! Our software does all the heavy lifting for you.
Denials are expensive and time consuming. Denials that have the greatest impact on net reimbursement must be prioritized by healthcare providers.
BillingMD360’s denial management software allows you to categorize and organize denial code types and categories, such as Soft, Hard, Clinical, and Technical/Administrative denials. In addition, providers must be able to establish the hierarchy of rejection and reason codes.
With such an easy-to-use tool, we expect to reduce future denials and rejections by improving claim accuracy, increasing efficiency, and improving staff performance.
Our Services
- Medical Coding Services
- Credentialing and Contracting
- Medical Coding, Billing & RCM
- Revenue Cycle Audit
- Virtual Medical Scribe Live
- HCC Coding Services
- HCC Validation Services
Please fill out the form below to speak with one of our Certified Professionals.
Benefits of BillingMD360’s Denial Management Tool
Maximize Your Reimbursements
Quickly determine denied claims that can be resubmitted and/or appealed.
Automate Denials Process
Minimize the requirement for manual claim status and remittance advice.
Group Denials
Our denial management software, categorizes denial codes to assist you in identifying and eliminating root cause issues.
Best Practices for Denial
Standardize activity and root cause templates based on the kind of rejection.
Recognize Trends
Determine the fundamental reasons of denials in order to improve procedures.
Reporting and analysis
Extensive data analysis and reporting features enable you to avoid denials in upstream processes.
Features of BillingMD360’s Denial Management Tool
DEADLINE
TAT for resubmission is usually 24-48 hours.
ANALYTICS
Can access typical product reports and analytics reports, as well as send responses to HIS/PMS systems.
LEARNING
Archives & Learns from the successful Denial Resolutions
SOLUTION
Reduces the denial rate and can permanently fix some global Denials.
STRATEGY
Follows Denial Resolving Strategies (DRS).
CUSTOMIZABLE
Generates list based on client specifications, such as, denial category and dollar amount.
ANSI REASON CODES
Includes ANSI reason codes, payer proprietary codes, and descriptions.
STANDALONE OR INTEGRATED
It can be used standalone or integrated with custom software to align claims and denials information on the same screens.
