AR Management
CDM Management
Charge Capture
Contract Management
Credit Balance Automation
Denial Management
Patient Safety and Quality
Underpayment Recovery

It is estimated that one in five claims are denied leading to costly staff research, resubmittal, reduced cash flow, and write-offs. A survey of CFOs conducted by the Healthcare Financial Management Association found that CFOs are frustrated with the old ways of trying to mitigate denials and are looking for "innovative approaches to using their own data to improve collections." (HFMA's CFO Forum, November 2009)

For many providers, denied claims result in millions of dollars in lost revenue. To address this problem, providers historically hired new staff to research and follow up on claims, but this is costly, inefficient, and not a sustainable solution for denial management. MethodCare's Denial Management Solution arms revenue cycle leaders with the technology to put them on equal footing with payors. MethodCare's customized data mining algorithms accurately detect and properly route denials for immediate resolution. Equally important is the ease of use staff have in accessing data at their fingertips to identify root-causes and proactively reduce front-end errors that result in costly denial management follow up.

MethodCare's Denial Management Solution:

Detects and properly routes ANSI reason for follow up
Automates denial batch appeals
Calculates denial statistics by reason and payor
Measures staff productivity on denial collections
Provides Dashboards and drill-through reporting
Identifies root causes to improve front-end processes

MethodCare's Denial Management software seamlessly integrates into our complete suite of revenue cycle solutions, including Charge Capture, Underpayment Recovery, Contract Management, Credit Balance Management, CDM Management, AR Management, and Patient Safety and Quality.

MethodCare's Solutions are delivered as Software as a Service (SaaS), alleviating hospitals with the burden and cost for hardware, software maintenance, and ongoing operations and support.