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Account Analysis
and Denial Management


How it works?

Physicians across the nation have been struggling to find a professional who can relieve them of their administrative chores so that they can face the challenges of providing quality healthcare. Most physicians would rather prefer a specialist taking care of the reimbursement process and maximize their revenue but they are tirelessly looking for the rest to manage their revenue cycle management.

Account Analysis and Denial Management

Regardless of the vigilance you demonstrate while medical billing – insurance verification, authorization, compliant coding and billing – denials have become part and parcel of Medical Billing Revenue Cycle Management. While a few denials may not have a second possibility of redeeming, most them are rectifiable and can be realized. But, the absence of an accurate EOB Analysis can render you resubmission and appeals for ineffective, resulting in substantial erosion of your revenues. As the cumulative effect of this revenue erosion may even have adverse impact on practices' sustenance and growth in the long-run. A proper and timely Account Analysis and Denial Management becomes very crucial.

While it is easy to identify the necessity of Account Analysis and Denial Management, it is quite harsh to expect medical practitioners to do it themselves as Account Analysis and Denial Management is primarily a specialist job. Therefore, it is inevitable to avail proven Medical Billing services that render such a thorough Denial Analysis and Management possible.

We, medicalbillersandcoders.com – having been a proven Medical Billing Consortium offering quality and result driven medical billing services to diverse medical disciplines – are known for effectively deciphering the reasons for denials, and augmenting resubmission and realization through instant Denial Analysis and Management Process.

To substantiate our Denial Analysis, we judiciously:

  • Figure out specific causes for the accumulation of the denied receivables. Such Denial Analysis provides us the characteristics of the denials, and to get them resolved comprehensively.
  • Analyze the financial impact of the Denials; our team of expert medical billing professionals is adept at identifying the general pattern and stake of the denials to evaluate its impact on financial returns.
  • Provide feedback to improve the efficiency Root-Cause Analysis and Financial Impact Analysis of Denials.

Having identified the root causes of denials, Denials are processed for corrective action: Resubmission and Realization. Usually the process follows:

  • Correction and Resubmission, wherein data is corrected and claim is re-submitted; in some complex cases, attaching supporting documents, inquiring client for additional information or clarification, and research is also done.
  • Effective Appeals, wherein standard appealing forms are put in place for the claims denied despite resubmission.
  • Timely Follow-up, which ensures that your Account Receivables are received within 25 days; our ingenious Resource planning ensure that all the unpaid claims are being followed up within pre-defined time frame.

Real Physicians, Real Results

Discover how physician groups thrive with us

We had no visibility into whether our IPA capitation payments were accurate. MBC's reconciliation process identified $138,000 in underpayments in the first quarter. That's revenue our prior vendor never even looked for.

Dr. S. Larsen
Dr. S. Larsen
Wound Care Practice — San Diego, CA

“I appreciate your prompt results on my Medicare inquiry. Dr. Ingrid Arnold and I appreciate the quality work that you and your team have provided to her practice. We had tried a couple of different insurance posting options, before we contracted with your company. We are delighted that we found your company to assist us. We find your reports timely and informative. I will recommend your services, without reservation, to any of our physician friends, who might be looking for a more reliable billing service”

Dr. Ingrid Arnold
Dr. Ingrid Arnold
DO | Mesquite, Texas

“I want to thank you for your professional help during the past two years with our accounts receivable. I have absolutely nothing but appreciation for your company in helping us out with the jam we were in when our office manager suddenly quit. Since that time we have enjoyed an absolutely non-problematic relationship. Our experience with claims injury, handling insurance rejections, posting our payments, the account receivable process, patient statements, and the excellent service provided to my patients are greatly appreciated. I also sincerely appreciate all the help that you have given me and my staff and I wish you the best of luck in future endeavors.”

Dr. Larry C. Watson
Dr. Larry C. Watson
MD | Houston, Texas

“For the last 4 years, MBC has been an integral part of growing our counseling and Intensive outpatient programs. My team and I appreciate MBC's commitment to exceptional customer support, credentialing, and billing services.”

Dr. Allen
Dr. Allen
Texas

Record high collections this month for our Chiropractic Practice! Thank you MBC!

Dr.Faulds
Dr.Faulds
Alabama

I just wanted to take a moment to say a big thank you for all the hard work you've put in over the past two years! Your efforts have really helped us transform our old accounts receivable into the impressive numbers we see today. I truly appreciate everything you do to keep our operations running smoothly all year round. Let’s keep up the great work together as we continue to tackle past claims and stay on top of the current ones.

Vadim Vartanov
Vadim Vartanov
Internal Medicine Associates of Jacksonville, FL

“We truly appreciate the exceptional work you are doing. Dr. Martha and I are grateful for your dedication and commitment. Your availability, regardless of the time, has been invaluable to us. The outstanding results we've achieved are a testament to your efforts, and we hope to continue this successful journey together. Thank you for all that you do!”

Judith Cedeno
Judith Cedeno
Podiatry Office Manager, FL

“Just a note of thanks in appreciation of all your help. The credentialling process can be daunting but you and the team at MBC were awesome every step of the way. Communication was clear, the process moved efficiently and the service was stellar. Thanks again and I look forward to working with you on this journey.”

Dr. Michael Lacqua
Dr. Michael Lacqua
Plastic & Reconstructive Surgeon, NY

“Our billing was poorly organized with a poor collection rate before you took on our account, and you have worked diligently to find what can be paid and have organized our billing process, including the sometimes difficult workers comp cases which compose a lot of my billing. Your unflinching attitude to constantly find ways to improve our billing is beginning to pay off. We are optimistic that with continued improvements and refinements we will see a big boost in our collections, and we are looking forward to a big turnaround in our finances in 2025 working with you. Thank you for your unstoppable attitude.”

Dr. James Baker
Dr. James Baker
Orthopaedic Surgeon | Knee and Hip - Stryker, TX
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