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Efficient Denial Management Services

With our top-notch denial management services, you can minimize denied claims and boost your revenue

Denial Management Services

Denials can significantly impact your practice’s cash flow. Efficiently managing denials can increase cash flow and improve the overall effectiveness of the billing process. Tranquil Med Solution offers effective denial management services to promptly address and prevent most denials, resulting in revenue recovery for your practice.

Minimize Denied Claims and Maximize Timely Reimbursements

Denial rates can vary significantly depending on the type of physician specialty. Since a denial rate of 15 percent can negatively impact practice profitability, it is essential to examine denial rates by specialty to identify and address high denial rates promptly. At Tranquil Med Solution, our expert claims management team investigates the root cause of denials to prevent them from occurring and resubmits denied claims to get them processed, analyzed, corrected, and updated. Our focus is on optimizing your revenue cycle and minimizing your denial rate for better practice profitability.

Our Unique Denial Management Steps

Identifying Denial Reasons

Categorizing Denials

Developing a Prevention Mechanism

Monitoring Future Claims

Why do denials occur in the first place?

  • Incomplete Or Inaccurate Insurance Information
  • Incorrect CPT Codes Or Modifiers
  • Provider Credentialing Errors Or Lack Of Enrollment
  • Misspelled Patient Names That Do Not Match The Insurance Card

To help you overcome denials and increase your cash flow, we follow a systematic approach that includes:

  • Conducting A Comprehensive Analysis Of Your Claims To Determine The Volume Of Denials.
  • Promptly Following Up On Denied Claims, Calling The Insurance Company, And Finding Out The Reason For The Denial.
  • Evaluating Denials Based On Age, Claim Expiration, And Failure To Meet Deadlines.
  • Identifying Denials Based On Payers, Providers, CPT Codes, And General Non-Compliance With ICD-10 Standards.

Turn Your Trash Into Cash

At Tranquil Med Solution, we understand that managing denials requires more than just resubmitting a claim. We have a team of experts who specialize in identifying the root cause of denials, tracking common errors, and systematically working to eliminate them. By analyzing denial trends and focusing on prevention, we can help practices reduce claim rejections and increase revenue. Our in-depth knowledge and expertise in denial management have helped numerous practices minimize denials and optimize their revenue cycle.