About Our Denial Management Services in Connecticut

Keeping claim denials at a minimum is challenging and essential for the revenue cycle and collections. Unfortunately, the lack of expert denial managers and their scarcity keep most providers practicing in Connecticut taking a hit on their revenue. To fill this gap, the ANR medical billing company offers unique and result-centric denial management services for over 50 medical specialties. With our efforts, healthcare practices may reduce their denied claim rate by more than 70% with ease and rapid results.

Choosing our medical claim denial solutions helps your clinic/hospital boost revenue recovery without going through bad debts and costly write-offs. We assign a dedicated account manager to each specialty with vast knowledge, expertise, and certifications in working with specific healthcare specialties. This allows them to fulfill your business’s financial goals easily. Our medical billing staff navigates the complicated and tedious payer appeal system on your practice’s behalf. By doing this, our team focuses on the clinical merits of every claim submitted to insurance companies and assists you in recovering the revenue they owe you. We also help healthcare facilities tackle and investigate their denial and appeal process and backlogs, further identifying cases with strong medical necessity justification to build a solid starting point for successful appeals and filing them at the exact time for maximum revenue recovery.

Denial Management Services

What Are The Common Reasons for
Claim Denials in Connecticut?

Many Connecticut-based providers face these common challenges/reasons that underpin the justification of claim denial, such as:

  • Incorrect Patient Information
  • Missing or Invalid Documentation
  • Coding Errors
  • Duplicate Claims
  • Lack of Prior Authorization
  • Failure to Meet Timely Filing Requirements
  • Invalid Modifiers
  • Medical Necessity Denials
  • Service Not Covered
  • Out-of-Network Provider
  • Incorrect Billing Information
  • Coordination of Benefits Issues
  • Pre-existing Condition Exclusion
  • Experimental or Investigational Treatment
  • Non-compliance with Plan Rules
  • Insufficient Medical Records
  • Incorrect Provider Information
  • Service Not Medically Necessary
  • Policy Limitations
  • Administrative Errors

Our medical claim denial managers specifically work on finding the root cause of denials and help you mitigate such problems in the future.

Our Denial Management Services in Connecticut

We offer tailored denial solutions in Connecticut that are designed for your specific needs and provide guaranteed results in minimizing claim denials without incurring bad debts that burden your medical practice. Here’s how our services turn your revenue cycle optimized with unique RCM services:

Thorough Investigation

When your practice receives a claim denial, we initiate a thorough root-cause analysis and investigation. Our medical billing team coordinates with medical coders, compliance, and quality assurance officers to determine the main reasons for such outcomes.

Stopping Future Occurrences

We stop current claim denials and take each step that builds a solid foundation for preventing future recurrences so that your practice may experience consistent and unobtrusive cash flow. We document each case so that the next time, your practice doesn’t face the same.

Resubmit Claim to Insurance Companies

Our company's medical billing experts resubmit medical claims for reimbursement to insurance payers after editing and removing mistakes such as invalid or incorrect medical codes, demographic details of a patient, provider’s NPI registration number, etc., to expedite the number of claims submitted against rendered medical care services.

Filing Appeals

To successfully recover a denied claim, we file an appeal after an extensive investigation of the root cause(s) and take remedial actions. Our company's denial managers also apply future-proofing techniques to deter future recurrences and protect your revenue from leakages and loss.

Why Choose Our Claim Denial Management Services?

Benefits of Our Patient Claim Denial Management Services

  • 90% + decrease in denials
  • 82% improvement in productivity
  • 65% reduction in operational costs
  • 50% reduction in aging A/R
  • 99% achieve net collections
  • 15+ years of experience
  • Trusted by 1200+ providers
  • Services throughout Connecticut
  • Better performance than the in-house team
  • 24/7 available staff
  • Top-ranking customer service
+1-860-325-9828
Denial Management Benefits

Frequently Asked Questions (FAQs)

Denial management solutions focus on identifying reasons or causes of claim denial and resolving them on behalf of providers. By using this service, medical doctors recover revenue from claims generated on medical care rendered to patients that would otherwise be lost or added as bad debt.

Insurance companies deny or reject a medical claim for various reasons, including incorrect coding, missing or wrong patient information or demographic details, failure to comply with payer guidelines, invalid proof for lack of medical necessity, eligibility issues, or failure to obtain prior authorization.

A good and professional denial management service assigns a team of experts who address any claim denial's root cause(s). They rectify/edit, or change details in medical bills, and submit them to insurance payers within a defined timeline. They additionally analyze trends and patterns, add corrective measures, and update medical billing protocols to stop the frequency of denials quickly and easily in the future.

A complete solution to a patient's medical claim depends on various factors and conditions agreed upon before formal contracting commences. A late submission or a claim with few mistakes is typically resolved within a few days. A complex issue is contingent on the payer’s response time, which may take several weeks or, in rare cases, months.

Yes, absolutely. Our denial management services include a complete suite of services, including creating and submitting appeals on your behalf. Our billing experts prepare detailed explanations and add proof and supporting documents to justify claim reimbursement reasons and why the appeal should be approved on a priority basis.

Outsourcing denial management services reduces the chances of going into bad debts and hurting your bottom line. Secondly, it increases and speeds up reimbursement time and revenue collection efforts. Lastly, it improves your practice’s revenue cycle management by ensuring the minimum or least amount of revenue leakages, protects your financial performance from losses, and improves cash flow.

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