Denials Management and Accounts Receivable in Healthcare Services

Denials Management, Accounts Receivable & Rejection Handling

I-Conic Solutions’ denials management & accounts receivables follow-up creates a clear pathway to uninterrupted cash flow & lasting financial security for your organization.

Step Into Smarter RCM with I-Conic Solutions


Why Every Unpaid Claim is

With 80% of claims containing errors and practices losing $5 million annually to denials, most claims are rejected or denied on the first pass, costing your practice time and revenue. This section will distinguish denial management from claim rejection, explaining why each requires a different strategy.

Claim Rejection

These claims are never processed by the payer due to formatting or data errors. We correct these errors and resubmit them quickly.

Claim Denial

These claims have been processed, but payment was denied. We proactively investigate the root cause and appeal the decision.

Denials Management & Accounts Receivable

The E-C-A-R Method is our proven blueprint for denial management, efficiently turning unpaid claims into recovered revenue.

Step 1: Evaluation

We perform a comprehensive audit of your outstanding accounts receivable (AR) claims, categorizing them by age, payer type, and reason for non-payment. This is the first step in our denial management process.

Step 2: Classification

Our team investigates each unresolved claim's root cause, identifying whether it's a simple claim rejection or a denial due to a complex issue like a lack of medical necessity.

Step 3: Action

Once classified, we take targeted action. For rejected claims, we correct the errors and resubmit them promptly. For denied claims, we initiate a timely and strategic appeal, providing all necessary documentation and a compelling case.

Step 4: Reporting & Strategy

Our detailed weekly or monthly reports show recovered revenue and include a comprehensive denial trend analysis to help you prevent recurring claim denials in healthcare.

Benefits of Denials Management &

Our proactive medical claims AR management strategy delivers tangible benefits for your practice.

100% Claims Follow-UpWe leave no claim behind. Our team performs AR follow-up on every single unpaid claim, ensuring all revenue is accounted for.

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Improved Cash FlowBy accelerating the resolution of denied claims, we reduce your outstanding AR days and improve your cash flow through efficient receivable collections.

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Root Cause AnalysisOur detailed reports provide root cause analytics to inform strategies that reduce future denials. This is a key part of our AR recovery services.

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Expertise in Denials & AppealsOur specialized team is experts in the denials and appeals management process, resolving complex denial reasons with a wide range of payers.

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Customized ReportingWe provide customizable reports on your AR, categorized by age, payer, or reason, giving you complete transparency and insight into your financial health.

Why I-Conic Solutions to Outsource

While other denial management companies may offer a generic service, our approach is built on precision & strategic partnership.

Our focus is on proactive revenue cycle denial management. We don’t just react to denials; we analyze them to prevent them from happening again, which is a key part of our denial management process.

Our team consists of seasoned denial management specialists with a deep understanding of billing, coding, and payer-specific guidelines.

We provide comprehensive AR follow-up services, handling everything from simple rejected claims to complex denial management.

Our services seamlessly integrate with your existing workflows, whether you use a specific denial management software or a standard PM system.

Take the First Step with I-Conic Solutions

Your revenue cycle deserves more than just management; it deserves transformation.

Our

Frequently

Denial management services identify, analyze, and resolve denied insurance claims to recover revenue and prevent future denials.

 Claims are usually denied due to incorrect coding, missing documentation, eligibility issues, authorization errors, or policy non-compliance.

 They detect root causes of denials, fix documentation and coding gaps, and apply corrective actions to ensure clean claims.

 It involves reviewing the denial reason, correcting errors, submitting an appeal or corrected claim, and following up with the payer.

Resolution time varies by payer and complexity, typically ranging from a few days to several weeks.

Yes, experienced denial management teams prepare and submit appeal letters with supporting documentation to overturn denials.

They recover lost revenue, improve clean claim rates, shorten reimbursement cycles, and boost overall financial performance.

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