Denial Management

Denial Management Services

Ambsi is recognized as top Denial Management company in United States. Regardless of the reason, most claims are rejected as a direct result of employee supervision. At AMBSI, we are equipped with the best medical billing and coding professionals who are selected for their expertise in the field. These professionals continue to participate in continuing education programs for employees to master the latest billing and coding guidelines. Insurance companies usually have approved lists of diagnostic procedures or combinations they are willing to pay for. AMBSI maintains and updates a database of such combinations approved by different insurance companies. Our highly supported coders ensure that the highest paid and approved combination of diagnostic and program codes are used to ensure the highest paid and immediate approval. We will Identify and correct the root cause of rejection. Our team will simplify work processes, Reduce costs & help you reduce regulatory risks.

Ambsi Denial Management Service

We understand that every rejection case is unique. We correct invalid or incorrect medical codes, provide supporting clinical documents, appeal any denial of prior authorization, and understand any true denials so that the responsibility can be transferred to patients for effective follow-up. Before resubmission, we will re-verify all clinical information. AMBSI’s rejection management team has experienced professionals who:

• Investigate the reason for each rejected claim

• Find the solution

• Resubmit the request to the insurance company

• Lodge an appeal if necessary

Minimize Medical Billing Denials

• We identify and correct the root cause of rejection

• Use effective tracking methodologies

• Simplify work processes 

• Reduce costs 

• Help reduce regulatory risks 

• Trust our experience 

• Help improve RCM

 

EHRs we work with

We are experts in the most popular electronic medical records and practice management systems. The following is a list of examples of system management practices, we use electronic medical records. If you don’t see your software here, please contact us for a complete list.