Denial management

Jzanus can help to optimize the management of your denials through the use of our proprietary technology and workflow processes. With these specialized tools and techniques, we are able to sort, refine and review denial details contained in payer transactions, HIM documentation, and other correspondence. Our proprietary workflow software allows us to segment denials into categories. Our team of clinicians with backgrounds in financial and clinical operations review records on clinical denials to complete appeals. Our dedicated team then manages the appeal process to ensure a timely disposition of the claim. Technical denials are processed in a similar way with our clinical appeal team for medical necessity review and appeals.

Prior to beginning an engagement with a customer, we conduct a detailed assessment to accurately evaluate the opportunity for the hospital. Using a collaborative methodology we create a team with the hospital to build best-practice business office processes.

 

 

Benefits of denial management service

• Clinical and technical appeals expedited.
• Management reporting.
• Assessment to qualify realistic areas of opportunity.
• Process re-engineering.