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Shifting from a Paper to an Electronic Appeals Process

Appealing denials can be an arduous and time-consuming process. Technology has transformed the denial management process into a much easier endeavor that allows efficient tracking and more timely and accurate appeals. Taking a denial and getting it overturned to increase your practice’s revenue is no longer the overwhelming effort it once was.

For example, an automated denials management solution gives your staff key information at their fingertips. No more hunting for EOBs and manually verifying information. Staff members can now easily see which claims are denied and why, allowing them to quickly understand how to approach the appeal process and assign workflow.

An automated solution can also identify patterns in denials that highlight performance or workflow issues that may need attention. For example, if you receive a series of denials from one payer due to timely filing, you can look into the issue and determine if there are ways to prevent these denials in the future.

Using electronic appeal letters that are designed to meet the requirements of specific payers can foster accuracy in your appeals process while shortening the time it takes to create an appeal. Electronic appeal letters are auto populated with information, such as patient demographics and remittance data. Users simply add any supplemental information, decide on supporting documentation and send the complete appeal to the payer. Your practice can generate an accurate and comprehensive appeal letter in a matter of minutes rather than hours!

Fundamentally, shifting from a paper appeal process to an electronic one will help your practice achieve not only greater efficiency, but also enhance the overall performance of your revenue cycle.

To learn more about automating your practice’s denial and appeals, watch this video for some tips and tricks.