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Denial Management
Denials and Appeals Solution for Medical Billing and Revenue Cycle
The Denials and Appeals module is a comprehensive and cutting-edge product designed to streamline the medical billing and revenue cycle process. Our solution empowers hospitals and medical billing organizations to effectively manage denials and appeals, ensuring increased accuracy.
Key Features:
Intelligent Appeals Workflow: Users can easily create and track appeals through our intuitive and user-friendly interface. The system alerts users and guides them through each step, ensuring timely submissions and increased appeal success rates.
Denial Letters Management: Our comprehensive system allows you to confidently and quickly respond to denial letters.
All auditing account types are considered part of the core of ReviewMate's auditing system that covers many features such as:
- Customizable settings for analyzing overall accuracy rates. Adjust for particular coders, tasks or firms.
- Built-in code look-up for performing research intuitively.
- Conversations between the auditor and coder are saved in a chronological manner and can be accessed by any user.
- Customizable dashboards to enhance the user experience.
- Identification on the screen of codes with CMS-HCC values.
- Grouping and pricing take place within the software eliminating the need for auditor to "toggle" between an encoder and ReviewMate for better resequencing decisions.
- Full suite of edits/warnings including gender and age conflicts, MCE edits, critical error and TruCode warnings.
- Accuracy rates available real-time and can be sliced and diced to accommodate different situations and date patterns.
- Multiple user levels allow view-only access to any interested parties providing transparency within your organization.
- Full suite of references including Coding Clinic, CPT Assistant, Coding Clinic for HCPCS, Clinotes, Principal Diagnosis Analysis, DRG Analysis, and AHA Coding Handbook
- Reconciliation of rebuttals occurs inside of ReviewMate.
- Extensive library of customizable and exportable reports from raw data to Executive Summaries.
- "Audit the Auditor" available for a higher-level quality check of any audit in ReviewMate.