Denials Management Solutions
- Denials management perfected from appeals to denials process improvements.
- The pioneer and innovator in solving clinical, technical and other healthcare claim denial issues.
Human Arc's PayerLogic
SM
Denials Management Solutions service addresses healthcare providers' growing problems with payer denials, the increasing incidence of insurers declining to cover submitted claims for any of a variety of clinical, technical and other reasons. We deliver denials management success.
Why PayerLogic Denials Management Solutions is Relevant
The tremendous growth of managed care has brought with it a staggering increase in the number of payer denials. It is estimated that, for U.S. healthcare providers, gross charges denied by payers have grown over the last decade to between 14% and 18% of all charges. Discounting the impact of intelligent denials management is no longer an option for cost-constrained healthcare management. Providers are putting processes in place to turn today’s denials into cash while implementing strategies to reduce denials tomorrow. Appealing denials is part of this, but Human Arc's PayerLogic Denials Management Solutions service goes way beyond that to help hospitals and clinics solve denial problems rather than just address them.
Major Benefits of PayerLogic Denials Management Solutions
- Maximized revenue stream – with aggressive, effective appeals of denied claims. This not only increases cash flow but lets the insurance industry know your facility is unwilling to accept denials as a routine cost of doing business.
- Optimized knowledge – through Human Arc's customized reporting portfolio that focuses in on your denials and their causes so you’re totally prepared to implement denials management process improvements, leverage information value in managed care contract negotiations, and benchmark your denials management progress over extended periods.
- The power to improve your denials management processes – with the right inputs to get all your relevant departments working together, using common data and employing the industry’s best practices to leverage your growing abilities to manage denials and minimize their impact.
The Human Arc Edge
Through Human Arc, PayerLogic Denials Management Solutions affords an unmatched array of advantages:
- Experience – Human Arc has many years of experience in developing optimum denials management processes. Our knowledge and expertise working with commercial and government payers keeps us on top of the latest changes in procedures, coding, etc. Whether common issues like Medicare ADR's or very state-specific logistics like certain Medicaid inpatient admission pre-certification requirements, they’re no problem for our specialists.
- Information Flexibility and Speed – This highly intelligent denials management approach to information reporting involves precisely targeted data gathering, “drilled down” to exactly what managers need to know about their denials, how they want it, whenever and wherever they need it, and right at their fingertips too. We understand that managers need the right stuff right away, and we provide it 24 hours a day - every day - via our password-protected and confidential web site.
- Focus on the Real Goal – We also understand that most clients don’t want to put a bandage on a problem by having us simply appeal their denials. Therefore we keep our eyes on their real objective, growing their abilities to reduce denials to their minimum by providing valuable data and denials management consulting services.
- Minimum Risk – PayerLogic Denials Management Solutions clients do not need to invest in expensive software or other in-house capacity that only obsolesces over time. We emphasize leveraging our expanding expertise and technologies rather than risking your capital.
- Security – Human Arc is 100% trained in HIPAA requirements. PayerLogic Denials Management Solutions clients can be totally assured that their patients’ privacy and information confidentiality are fully protected.
PayerLogic Denials Management Solutions Case Studies
Nothing speaks like proof, so here’s how PayerLogic Denials Management Solutions has actually helped its clients.