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XClaim Suite:
Client Results >
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XClaim:
Denial Management
XactiMed's denial management solution provides a powerful tool for increasing both efficiency and profitability. By analyzing the payer adjustment codes on the remittance advice, we automatically identify claim denials and immediately reroute them to the appropriate person or department for follow-up and resolution. Online activity reports allow supervisors to track daily receipt of denied claims and monitor timely resolution by follow-up personnel.
Even more valuable than quick resolution of denials is preventing them in the first place. XactiMed allows you to consistently and reliably track trends in denials. By matching remittance reason codes to payers, we help identify recurring problems, so you can address issues with specific payers or hospital service departments and reduce the overall denial rate. Online reporting tools display the denials in multiple formats, enabling managers to perform root-cause analysis on fully and partially denied claims, identify accountability, and quantify upstream revenue opportunities.
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