Denials Assessment
Healthcare providers not only experience revenue loss but also face workflow challenges due to increasing denials. Astonishingly, 15% of claims submitted to private payers are initially denied, and over 60% of these denials are never resubmitted. How do providers determine where to start when it comes to improving their operational inefficiencies?
Cognizant’s proprietary Denials Assessment offers a comprehensive evaluation that uncovers opportunities for process improvement and pinpoints systemic problems that cause downstream denials. Issue identification is then coupled with both short- and long-term action plans to reduce initial denial rates and increase overall recovery efforts. Recommendations from the Denials Assessment may include AR backlog management, automation, safety net programs and AI integration.
Key Benefits:
- Isolate Root Cause: Identify underlying trends of claim denials for recovery and prevention opportunity
- Actionable Insights: Build short- and long-term action plans to maximize recovery and practice efficiency
- Advisory Led: Learn from our internal team of expert RCM consultants
- Process Improvements: Understand operational improvement opportunities based on best practices
Over
60%
of denied claims are never resubmitted.⁺
With over 30 years of experience in revenue cycle management and access to inhouse enterprise resources, Cognizant enables organizations to leverage seasoned advisors to develop a tailored denials management solution.
Connect with our advisory team