Denial Management
Never Give Up!
Denial Management is a crucial process for every healthcare provider. Insurance companies deny claims for several reasons. Denials are becoming so common that every underpaid claim must be investigated and appealed. Providers should never give up on collecting dollars due from third party payers for medically necessary services provided.
ANI’s dream team of seasoned professionals will advocate on your behalf. Our strategy is to step outside standard appeal forms to reference contract language and justify clinical arguments to support services rendered. ANI provides our partners with weekly reports showing payer performance and root cause analysis of all underpayments.
Managed Care
Medicaid
Medicare
Veterans Administration
Workers’ Compensation
Champus Tricare
Hospital Billing
Motor Vehicle
Auditing
Fee Schedules
Our Strategy
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Analyze EOB. Correct claim or send appeal.
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Appeal until efforts exhausted.
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Follow-up until payment is received.
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Report denial trends and root causes weekly, monthly, and quarterly.
Denial Management
Underpayment Trends
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No Authorization
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Billing Error
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Additional Information Requested
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Timely Filing
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APC/CPT Rate
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Other
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Medical Necessity
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Coding Error
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Non-Covered Charges
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Correct Fee Schedule
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New Contract Rate
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30+ years of experience with Commercial and Government Payers.
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150+ Successful projects executed nationwide.
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1 million + appeals completed.
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98% first-pass clean-claims rate.