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Denial and Claim Management Software with MediTouch

The best way to manage denials is to not have any – avoid denials with our Denial Defender denial management software. And when your claims do require special attention, use our Claims Worklist to track and manage them, reducing your AR.

denial management software

Denial Defender Optimized Claims

denial defender-denial management software

Should you get a denial, our workflow supports an easy way to mark the claim for appeal and re-send the claim to the payer along with any edits you choose to make.

  • Compare each claim against a sophisticated database of standards
  • Millions of edits designed to avoid health plan rejection and denial
  • Monthly reports that track your denials based on the denial reason
  • Get feedback on the latest Medicare LCD and NCD rules, CCI edits and use of modifiers
MediTouch’s Denial Defender system goes far beyond the simple “code scrubber” tools offered by other medical billing software options. Our easy to use, “at-a-glance” system is designed to make recommendations on the use of billing codes and modifiers, increasing your percentage of clean claims and speeding your payment rate.

Denial Defender is a color-coded system that uses a database containing tens of thousands of coding rules. Denial Defender® verifies modifier usage, checks for CCI bundling edits, determines code validity, validates pass-through items and verifies medical necessity. Plus, Denial Defender provides the Relative Value Unit (RVU) of each procedure, helping billers to maximize reimbursement. Taken together, these tools comprise one of the best denial management software systems available, insuring your reimbursement and speed of payment are optimized.

In addition, Denial Defender will alert you real-time if your charges are saved to claims that are inconsistent with the current Medicare coverage guidelines. You can also modify the alert system so that Denial Defender is customized for your practice.

With MediTouch’s best in class denial management tools, at the same time you are creating claims our system is helping you optimize the claim, real-time, to prevent rejections and denials by the payer.

Reduce Your AR With the Claims Worklist: Never a Lost Bill

Most medical billing software platforms don’t have tools that can assist the user in systematically reducing their AR. Practices need a mechanism that looks at payment and compares it to the contracted fee schedule. Manually sifting through hundreds of claims is impossible, only software can efficiently “bubble up” the claims that require the attention of your billing team. Tracking these claim, working denials and your ambiguous AR is what separates superior billing software system from the rest.

Medical Claims Denial Management Software

 

There are never enough billing and collecting resources to track all the claims that may require special attention, such as claims that have been underpaid, claims that bump up against the timely filing deadline, rejects and denials, pending payment and claims that have been in user hold for more than 30 days. It may be important to organize claims in these categories by payer, provider or a specific time span. The MediTouch Claims Worklist feature allows the user to create rules, or criteria, for these claims in order to categorize them and then score rules by priority.

Once rules are created, the MediTouch Claim Worklist Engine will search and retrieve claims that match your rules and then prioritize those claims for you. Your team can then use the Worklist Interface to assign a follow up timeframe, reassign risk status, assign a Worklist category, enter a note, exclude the claim from the Worklist, or mark the claim as completed. Claims should be worked until completed and stay on the Worklist until your case is solved. All notes and status changes are made part of the claim’s “permanent record.” If you’re not systematically working your claims based on a sophisticated rules engine, you are essentially trusting that the insurance companies have your best interests at heart. Use a system you can rely on, like the Claims Worklist and ensure those bills don’t get lost.