Denials Workflow

Identify and Recover Denials Quickly and Effectively.

Automate the discovery of denials due to eligibility, authorization issues and more. Convenient single-screen reporting shows you the opportunities with the shortest resolution timeframes and the highest probability of recovering revenue. Then, payer-specific appeal letters are automatically populated.


  • Identify Common Denials. Reasons for denials are broken down into user-friendly categories to help identify reoccurring errors and work on fixes.
  • Implement a Workflow. Work-listing, notations and tagging capabilities allow you to implement a complete workflow for managing your denials.
  • Include Attachments. With just the click of a button you can include chart notes, office notes, etc. with your appeals.
  • Utilize Administration Tools. Track user productivity and recoveries.

By measuring payment accuracy, identifying opportunities and reducing the time and cost of appeal processes, we can help you recover more of the payment you are owed.

 

Automate the Appeals Process to Recover More Revenue

Once Denials Workflow finds the error in the denied claim, a formatted appeal letter is generated with support documentation and made available for mailing. Take automation one step further and let us mail the appeal for you.

 

Additional Denials Management Services

I absolutely LOVE TriZetto!! They are the "cream of the crop" in my book. Very well organized. Fantastic training, and superb customer service. Honestly.

Recovering from the Denial - Webinar

With shrinking payments and smaller margins, effective claim management and reducing the number of denials received in your office is more important now than ever. Join TriZetto Provider Solutions, HBMA and Amy Redmond, CHBME, Vice President of Revenue Integrity Innovative Healthcare Systems, Inc. for an informative recorded webinar on recovering from denials.

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TriZetto Provider Solutions® Powered by Cognizant

We help physicians, hospitals and health systems simplify business processes and get accurate payments quickly. We will always look for new ways to help you improve revenue and increase cash flow. We will stay ahead of regulatory changes so your office will never struggle to keep up. All so you can focus on the one thing that really matters: doing what is best for your patients.

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