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Denial Management

We can convert every denied claim into dollars

Denial Management Processing:

Whatever the reason, most claims denials are a direct result of staff oversight. We at Global Services Hub are equipped with the best medical coding and billing professionals, hand-picked for their expertise in the domain. These professionals are perpetually enrolled in continual staff education initiatives, so as to possess the most up-to-date knowledge on the billing and coding guidelines.

Insurance companies in general have an approved list of procedures or diagnosis combinations that they would pay for. Global Services Hub maintains a database of such approved combinations by different insurance companies and is up-to-date on the same. Our highly endorsed coders ensure that the highly paid and highest approved combination of procedure and diagnosis codes are used to ensure maximum payment and instant approval.

Quick justification:

  • Effective tracking methodologies
  • Identifying the root-cause for denials
  • Applying technology that is up-to-date
  • Pre-service, concurrent, and post-service reviews.

10 + 5 =

Our Denial Management Service Highlights

All denials are routed to the denial analysis department. Denials are segregated into line items and full denials

DenialAnalyzer, our denial management and reporting app, gives you realtime insights
All claims are categorized into different follow-up groupings.

We work with all federal and commercial payers and have strong knowledge of their payment mechanisms

Redundant processes are automated. This cuts back on cycle times. Recover money faster.
Software that identifies, isolates, quantifies and categorizes denials to help you lower your denial rate and spot revenue leakage sources.

Skilled Denial Management Staff

Global Services Hub’s seasoned denial management specialists with over 5 years of experience across various specialities, insurances, and states, giving them a superior advantage in understanding insurance guidelines and preventing denials.

Our Denial Management Tool

Our denial management tool has an inventory for more efficient response, with analytics creating 13 default pre-set denial maps. The tool is customizable for unmapped denials & It can auto-populate errors & denials & provides resolution for denied claims.

RPA Denial Management Technology

Global Services Hub’s RPA denial management technology has proven increased productivity, quality, and efficiency compared to denial management staff (FTE) allowing your healthcare organization to continue denial management operations 24/7 365 days a year.