Denials Recovery
Avoid and overcome rejections to increase income
A full-service solution, alphaclinik Denials Recovery helps recover money from commercial, government, and managed care payers who have underpaid or wrongfully denied claims. Using clever technology and cutting-edge analytics to generate quick reimbursement and process improvement, our clinicians, attorneys, trained coders, and reimbursement analysts work together to appeal, recover, and prevent denials.
To recover more, get full-service appeals and rejections management.
Resolve incorrectly refused or underpaid claims from commercial, government, military, and Medicare/Medicaid Advantage payers in a timely and effective manner. A full-service denial and appeals management solution, alphaclinik Denials Recovery restores earned reimbursement that payers unjustly withhold or postpone.
Quickly settle claims
With our industry-leading overturn rates, which are powered by sophisticated technology and deep topic experience, you may start making money in as little as ten days.
Join forces with extremely knowledgeable professionals
While you concentrate on other high-priority, revenue-generating receivables, our team of qualified subject matter experts works as a potent extension of your personnel, handling the hard lifting on high-volume or specialized inventory.
Increase the effectiveness of the workflow
Work more effectively by utilizing a single solution that works with all payers and provides a more effective method for account follow-up, resolution, and root cause analysis and identification for continuous process improvement.
Keep improving for lasting success
Gain knowledge and insight for measurable performance improvements. Here’s a look at how we work together after defining your program with our risk-free Aged Trial Balance (ATB) assessment.
Startup
You can allow us to access your system’s work queues so we can start working on inventory right away. To enhance our ability to provide services and identify fundamental causes, we automate a designated inventory file.
Recovery
When necessary, we draft clinical and technical appeals, file them on your behalf to get reimbursement, and address problems with rejected and underpaid claims. To ensure that payers honor contracts, we designate our staff attorneys and physicians to attend payer meetings.
ongoing development
Root cause analysis and comprehensive reporting provide you the tools you need to manage your team, workflow, and continuous training initiatives. In addition to providing you with information on payer trends and behavior patterns, our healthcare attorneys and physicians support you in any future payer contract discussions. We do routine business evaluations with your team as well.