Analytics & Reporting 

 

 

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Root Cause Analysis

MedClaims provides revenue cycle leaders with strategic insight into the root cause of denials, including those that originated in patient access areas related to eligibility and registration. You will be able to pinpoint the areas contributing to the denial rate and the dollar value of making improvements.

Deliverables:

  • In depth research as to why claims are denied
  • In depth research as to why denials are unable to be overturned
  • Analysis of claims that are unworkable with education to prevent future occurrences

Trending Analysis

After we have identified the denial volume and reasons, we categorize the denials so that they can be monitored, trended, and routed to the appropriate department for remediation.

Deliverables:

  • Analysis of most common denial types
  • Analysis of success rate
  • Analysis of cost to collect

Activity Reporting

Once we have categorized the denial reasons, we provide a monthly activity report that tracks and discloses representative activity per claim.

Deliverables:

  • Customized reporting on claim status
  • Volume of unpaid claims
  • Outstanding balance per claim