ClearContracts™ for Denials – Optimizes Cash Flow
A chief concern of healthcare organizations today is decreased claims reimbursement due to claim denials. To combat this concern denials management has become common practice in many healthcare groups. But the challenge of how to accurately and quickly identify the sources of the denials through comprehensive analysis still remains.
“In less than 4 months, $1.37 million of underpayments had been appealed and $1.24 million of that actually collected. I have every reason to believe that we can increase revenues by $3-6 million annually using Concuity’s solution.”
—Mike Butler Chief Financial Officer, Providence Health System
ClearContracts™ for Denials makes the task of handling denied claims manageable by deploying a comprehensive denial database and tracking system. By capturing denials from all sources (paper and electronic) with EOB Pro, ClearContracts for Denials becomes the central point for capturing all sources of denials. The comprehensive system is comprised of reasons for denial; denial appeal status; provider and payer responses to authorizations and concurrent denials; physicians and departments involved in the denial process; case-management notes; level of care determinations; and revenue lost or at risk. The database and tracking system was designed to have a tangible impact on organizational performance.
ClearContracts for Denials help with denials by focusing on the causes as well as tracking the impact on your organization before and after detection. With ClearContracts for Denials you can:
- Maximize cash flow
- Identify the root cause of denials
- Support accurate workflow priorities and scheduling for follow up
- Provide accurate and timely statistics for executives
- Track and prioritize denials
- Avoid out-of-timely filing
- Analyze the effectiveness of denial resolutions
- Identify business process improvements to avoid future denials
ClearContracts for Denials allows you to analyze and track your denials management operation for optimum performance as well as integrated contract management through a single web interface. With minimal impact on your IT resources, Concuity can have your organization combating denials and improving cash flow quickly.
» learn more about ClearContracts for Denials features
