The structured program of denial management services developed by DMESolz is aimed at finding out what underlies the denial of claims, ameliorating the errors in documentation and billing, avoiding the repetitive loss of revenue. We volunteer as a working arm of your business- enabling your staff to specialize in patient satisfaction and we take care of payer reactions, petitions, and corrections that are compliance based.
To be a reputable partner in the DME market of compliant and result-based insurance denial management that can secure a sustainable revenue growth.
To assist DME suppliers decrease the rate of denials and improve the time frame of reimbursement by means of accurate denial management services based on the payer policies, records and compliance to the regulations.
DMESolz provides end-to-end denial resolution services to meet the operational and compliance issues pertinent to DME billing. We adopt our policy of denial management which emphasizes on the accuracy, accountability and prevention- and not correction.
We examine payer reaction to determine types of denials, such as; eligibility mistakes, documentation issues, coding problems, and medical necessity disputes.
On the one hand, our team analyzes claim data, payer policies, as well as workflows to identify the root cause of denials and avoid recurrences.
We will prepare compliant documentations of appeal, rectify billing mistakes and handle timely resubmissions, according to the payer-specific appeal requirements.
DMESolz corporate vision is to provide proper, non-compliant, and open medical denials management to DME providers in the USA. Our organized work processes are formulated to minimize avoidable denials, enhance first-pass claim acceptance, and safeguard long term financial stability by way of regulation-driven processes.
All denial processes comply with CMS regulations, LCD/NCD guidelines, and standards of payers concerning appeals.
Our Medical denial management strategy focuses on root cause correction- not claim repair.
We also deal with denials specific to DME claims in documentation, medical necessity and denials related to authorizations.
Regular updates on issues, no secrets and satisfactory turn around time which you can count on.
Contact our team and determine your denial rates, payer mix, and AR exposure.
We work with a personalized resolution and prevention model based on the needs of the payer and DME billing criteria.
Our experts will run denial workflows, measure results, and they can constantly optimize processes by providing compliant denial management services.
DMESolz is a company that is concentrated under CMS, Medicare, Medicaid, and a commercial payer structure to reinforce all of the denial resolve operations in accordance with regulatory requirements. We base our work processes of minimizing audit and non-compliance risk through the structure of our documents, appeal deadlines, insurance and product-specific policies, on the accuracy of documentation, appeal deadlines, HIPAA protections, and payer-specific policies.
Our work is to deal with the eligibility, documentation, coding, medical necessity, authorization, and submission of denials timely in accordance with the payer policies.
Yes. Our managed care services in terms of our insurance denial management apply to Medicare, Medicaid and commercial payers depending on their respective appeal and documentation requirements.
Properly handled denial management services eliminate repeat errors, enhance the claim acceptance rates, and enhance the compliance- resulting in the predictability of reimbursement outcomes.
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