Healthcare costs are increasing, and payers constantly find new reasons to deny, underpay claims, and delay payments. As a result, healthcare providers and facilities are not collecting the revenue they deserve. This is where we at Quick RCM LLC come in to assist you with the medical appeal process. We offer cloud-based solutions that automatically analyze the Electronic Remittance Advice and apply rules to place suspect and denials payments into the right work queues.

Whether you’re a Medicare or a commercial healthcare provider, you must ensure that your health plan’s compliance procedures are always updated and ready for audit. With the regulatory climate changing rapidly, health providers are not sure if their patients will be able to clear their bills after receiving services. Our software empowers compliance teams with real-time data visibility for accurate monitoring, quicker medical appeal, and better decision-making. As a result, health plans can generate regulatory reports faster, while the insightful dashboards empower better decision-making.

Our denial management services include identifying the key problem causing the health insurance claim denials, classifying them, and developing an effective denial management software solution based on our findings. Our core services are;

1. Review and Analysis of Denials

A dedicated denial management service provider like Quick RCM combined with the latest medical appeal technology is all you need to turn reactive payers’ responses into proactive ones. Our clinical specialists review claims and medical records and validate that the services are billed correctly. We manage every step of the medical appeals process through;

• Review and analyze medical appeal denials
• Writing a professional medical appeal letter
• Quality assurance review
• Submission and follow-up on the medical appeal form

2. Provider Dispute Resolution

It is required for health plans to submit annual reports concerning the number, type and provides claim medical appeal and disputes summaries. They are supposed to explain how they are addressing patterns in disputes. With Quick RCM Dispute Resolution, health plans can;

• Ensure consistent compliance
• Track provider disputes on time
• Monitor and manage dispute resolution processes effectively
• Providing management analysis report and other information to prevent future denials

Is your health clinic or hospital equipped with the strongest denial management tools to help defend yourself from payer denials? At Quick RCM Pvt. Ltd., our highly trained team offers the best claim appeal services, ensuring your organization receives the maximum reimbursement for the services rendered.

Contact us today to maximize the recovery of your medical necessity!