BLOG • Feb 19, 2025
Unlocking Revenue Potential: Why CARC Codes Are Essential for Denial Management
RCM Medical coding
🟢 Accounts Receivable and Denial Management
Eliminate Claim Denials and Boost Your Revenue with Our Denial Management Services
Our services help you identify the root cause of claim denials, analyze them efficiently, and resolve them quickly to optimize your income and financial performance. Let us help you take control of your claims management process
Schedule a Call<10%
A/R Aging Over 90 Days
<5%
Denial Rate
>90%
First-Pass Resolution Rate
Overview
Features of Our Accounts Receivable and Denial Management Solutions
Efficient AR and denial management are vital for the financial health of any organization. Here Why:
Automation for Enhanced Efficiency
We leverage cutting-edge technology to automate billing, posting, and denial tracking processes, significantly reducing manual effort and errors
Real-Time Analytics
Our dashboards provide a clear view of your AR aging, denial trends, and payment performance, empowering you to make data-driven decisions
Custom Workflows
From prioritizing accounts to routing denied claims for follow-up, our tailored workflows ensure maximum efficiency
Integrated Communication Tools
Our systems seamlessly connect with payer portals and patient engagement tools, speeding up collections and resolving payment issues effectively
Proactive Compliance Monitoring
Our tailored strategies and technology-driven solutions address these challenges head-on to optimize outcomes for your organization
Operations
Key Areas of Focus in AR and Denial Management
Our tailored strategies and technology-driven solutions address these challenges head-on to optimize outcomes for your organization
Delinquent claims
Common hurdle that can severely disrupt cash flow when left unaddressed. At ASP-RCM, our experts proactively identify neglected claims and log into payer systems to retrieve the latest status updates, review the issues causing delays, and take corrective actions. By resolving these claims promptly, we minimize the risk of revenue loss and ensure steady cash flow
Denial management
Denial management is a key challenge in revenue cycle management, often causing lost reimbursements. Our team analyzes denial documents to pinpoint issues like coding errors, missing documentation, or eligibility mismatches. We resolve current denials and implement preventive strategies, ensuring higher first-pass resolution rates and streamlined revenue collection
Clearinghouse integration
plays a vital role in streamlining claims submission, tracking, and follow-ups. By leveraging real-time data from clearinghouses, we ensure accurate submissions and quicker payer responses. Our integration process also identifies and resolves claim rejections at the clearinghouse level, providing complete visibility into the claim lifecycle and enabling timely interventions
Accounts receivable follow-up
Managing aging claims and pending payments is vital. Our disciplined follow-up process tracks claims consistently, prioritizing high-value and time-sensitive accounts. By resolving issues directly with payers, we expedite payments and boost revenue recovery for your organization
Zero-payment claims
This process requires a detailed investigation to prevent revenue loss. Our team identifies causes for zero remittance, such as contractual adjustments, coding errors, or payer rejections. We provide necessary documentation, corrections, and resubmit claims when needed, ensuring rightful reimbursement and maximizing revenue recovery
Waystar denials
Denials are managed with precision using Waystars advanced analytics. We identify trends, address systemic issues, and create targeted strategies for specific denial categories. By monitoring outcomes and refining processes, we optimize denial management and improve financial performance
Payment reconciliation
An essential part of accounts receivable management, we meticulously review Explanation of Benefits (EOBs) to ensure payment accuracy, reconcile claims, and update patient accounts with adjustments or transfers. This maintains financial transparency and eliminates discrepancies
Appeals
Appeals help recover denied claims and boost reimbursements. Our thorough process includes gathering strong documentation, providing clarifications, and engaging payers effectively. This maximizes claim amounts and reduces lost revenue
Testimonials
Client Success Stories
FAQ
Frequently asked questions
Once we have securely received your patient and encounter data, we code, review, and submit claims to payers. We manage appeals and denials, track payments, and provide regular updates. Our process is designed to be efficient and transparent.
Our certified coders and billing specialists review every claim carefully. We use quality‑control checks, regular coding audits, and payer‑specific validation to reduce coding errors and the risk of denials.
Our denial‑management team reviews each denied claim to identify root causes. We correct issues, resubmit claims promptly, and, when needed, pursue appeals with payers to maximize reimbursement.
We offer flexible pricing tailored to client needs — including fixed fees, per‑claim pricing, or percentage‑of‑collections models depending on volume and services required. Contact us for a custom quote.
Yes. We specialize in seamless transitions from in‑house systems or other vendors. To ensure secure data migration, our team works closely with you and provides training as needed.
Resources
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