Services
Denial Management and Prevention Services
Prioritize and resolve denials quickly while gathering the insights necessary to proactively address denials before they occur.
Overview
Each year, billions of dollars in denied claims are never resolved because healthcare organizations don’t have the resources to work them properly. AGS Health offers deep expertise in denial management and appeals writing to ensure our customers can capture every possible dollar of revenue owed.
In addition, we also provide the insights needed to identify the root cause of denials so your organization can take corrective action to improve your clean-claims rate, reduce your denial rate, and prevent revenue loss for your organization.
SERVICES PROVIDED
AGS Health, powered by technology and industry experts, will help you maximize your revenue while providing prescriptive solutions for improving your denial management strategies.
- Denied claims are identified, analyzed, categorized, and prioritized to ensure prompt resolution.
- Following review, appeals are written and submitted to successfully improve net revenue collections and cash flow.
- Detailed trend analysis and reporting is provided to improve first-pass resolution rates and support future payer contract negotiations.
BENEFITS
Unlock the benefits of the denial management services
Avoid Write-Offs and Recover Revenue
Our team of denial management professionals will assess your denials by payer, filing limit, amount, aging, and other criteria to prioritize appeals and capture the maximum amount of revenue possible.
Streamline Billing Processes
By analyzing your existing processes and resources, AGS Health can help you identify opportunities to improve denial management efficiency and leverage technology for time-consuming and tedious tasks.
Stop Denials at the Source
We analyze historical claims data to identify denial trends, root causes, and patterns, which enable customers to proactively implement preventive measures for long-term revenue improvement.
TECHNOLOGY ENHANCED DELIVERY
Intelligently automated workflows to maximize productivity, efficiency, and business intelligence.
AGS Health’s proprietary Intelligent RCM Engine™ drives excellence in patient financial services with cutting-edge AI, machine learning, and analytics. Our advanced automation and data-driven logic ensure optimal task distribution, streamlining workflows, and supercharging productivity. Enjoy faster revenue collection, reduced costs, and exceptional efficiency while achieving unparalleled quality and value.
Interested in strengthening your denials management and prevention strategy?
Additional A/R management services to streamline your revenue cycle
Payment Variance and Underpayment
Identification and review of underpaid claims to uncover payer processing issues or identify contract management tool optimization.
Resources
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Let’s transform your denials management today
When you create a high-performance revenue cycle, you’re finally free to invest your full resources into what matters most: the care of your patients.