Experiencing Coding Denials?

Did you know that insurers routinely issue improper payment denials — essentially taking money out of your pocket? We know this can be incredibly frustrating. Let us do the heavy lifting and assist you with the appeal process. 

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Experiencing Coding Denials?

Did you know that insurers routinely issue improper payment denials — essentially taking money out of your pocket? We know this can be incredibly frustrating. Let us do the heavy lifting and assist you with the cumbersome denial/appeal process.

LEARN MORE

“The biggest victims are the providers.” — Becker’s 

Did you see the HHS/OIG report

It confirms that payors routinely issue improper payment denials — essentially taking money out of your pocket.  

The report was compiled using Medicare Advantage data on denials, appeals, and appeal outcomes from 2014 to 2016.  

In reviewing hundreds of contracts, the OIG found that insurers overturned 75% of their own denials upon appeal—approximately 216,000 denials each year.  

However, while the odds of winning an appeal are seemingly good, many providers simply don’t have the time or the internal staff and infrastructure needed to engage in the process.

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HIA often assists facilities and physicians with the cumbersome denial/appeal process with a full-service approach.

Address the overflow volume of denials

Analyze coding-related reasons for denials

Education and resources to avoid future denials

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“Higher in quality and knowledge of personnel. Very professional staff. Always available to assist us as we need. Great team to interact and learn with.”

– Kelly Guthrie | WakeMed

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