Denial management services uncovering root causes and trends
PCH Health’s denial management system resolves clinical, hard, soft, and administrative denials, ensuring maximum reimbursements.
With proficiency in commercial, state, and federal payer policies, PCH Health’s denial management experts harness the best of automation and strategy to save our clients valuable time, money, and energy.
Denial trends analysis
Thoroughly investigate causes and understand patterns for targeted solutions.
File appeals
Take swift corrective actions and file appeals seamlessly.
Sort & classify denials
Categorize the denials and route them to a team of experts for remediation.
Proactive denial prevention
Analyze patterns to prevent future errors, bolstering your revenue stream.
Denial assessment
Generate insightful reports to pinpoint top denial categories affecting revenue.
Understand procedures & compliance
Ensuring precise billing and documentation adherence by understanding the unique procedures of each payer.
Why outsource denial management services?
PCH Health educates clinicians on denial management strategies and guides them to preventing rejections.
Our coding denial management services correct improper or invalid medical codes, provide appropriate documents, work on prior authorization denials, and rout genuine denial cases to patients.
Partner with PCH Health for comprehensive denial management solutions for your practice.
Results-driven denial management services
Cut down denial rates and operational losses with PCH Health. We identify, manage, monitor, and prevent denials.
>98%
Clean claims success rate
<30 days
A/R days reduced
<7%
Overall denials minimized
<1%
Coding denials reached
Minimize medical billing denials with PCH Health
PCH Health’s denials and appeals management services can help you handle denials promptly.
- Correctly enter patient and insurance details for accurate submissions.
- Efficiently retrieve information from patient records.
- Submit claims and bills effectively.
- Ensure compliance with specific payer requirements to reduce regulatory risks.
Awards and Certifications
Top specialties managed by PCH Health include but are not limited to:
Ambulatory Surgical Center
Behavioral Health
Cardiology
Oncology
Orthopedics
Primary Care
Urgent Care