Denial Claims Services
Over past few years in particular, insurers have begun denying a larger and larger percentage of legitimate health care claims. In view of the steadily increasing costs for both managed care and indemnity coverage, this is widely viewed as a tactic to increase insurance company profits at the expense of beneficiaries. Since there is no way to prevent unfounded denials, the only recourse for providers is to appeal consistently, tenaciously, and effectively.
TBS will work diligently to maximize the value for our customers. We strive tirelessly to meet our objective and go to great lengths to ensure that our clients receive the reimbursements due to them. Our experienced personnel thoroughly review the Insurance Policy Details, Explanation of Benefits, and Patient's Medical Records to ensure that the claim is paid appropriately. Our team ascertains the party liable for the pending payment, and does regular follow-up with the liable party (Insurance or Patient) for the payment recovery.
Utilizing our secure access protocol TBS will remotely deploy the sufficient number of certified coders to properly and effectively manage your organizations denial claims. We select from our nationwide pool of certified coders only those with extensive experience in denial claims management. Our fee structure could be either a percentage of the funds recovered or an hourly rate per certified coder depending on the flow of denied claims and the legth of the contract.
Please contact us now for more information on our Denial Claim Services!