Denial Management:

Denial management will always be a necessary part of the medical billing process. At APS, we are constantly working to minimize the time and efforts associated with denied claims. Our investment in new technology, automation and tying them to improved processes is allowing this goal to be achieved.

We employ electronic edits to flag potential problems early and use scrubbers for improved “clean claims”. The result of these practices contributes to APS having a high percentage of accounts in the 0 – 30 day range of the A/R – indicating most claims are paid by insurers on the first pass.

Our custom Electronic Remittance Advice Denial Management Module allows us to see trends, resolve provider/ payor issues quickly and track individual claims until adjudication.

APS claims submission process "Best Practices" (Independent Audit)

Cleaner Claims .......... fewer denials, re-filings and/or appeals.