Hospital Claim Denial Prevention eBook
Hospital Claim Denial Prevention eBook
According to the HFMA, effective denial prevention could yield up to $5 million in additional revenue for a typical hospital.
With 90% of denials being preventable and two thirds being appealable, a strong denial prevention program can help your organization recover more of that additional revenue faster.
This eBook utilizes Advent Health Partners’ denial management and prevention experience to dissect the six most common denial root causes, preventative options, and the benefits of addressing them.
Being accountable for payments by asking questions and understanding the methods for which you’re paid (or not)—adds value to your facility, its patients, and the financial health of both.
With 90% of denials being preventable and 2/3 being appealable, a strong denial prevention program can help your organization recover more of that additional revenue faster.
This eBook utilizes Advent Health Partners’ denial management and prevention experience to dissect the six most common denial root causes, preventative options, and the benefits of addressing them.
Being accountable for payments by asking questions and understanding the methods for which you’re paid (or not)—adds value to your facility, its patients, and the financial health of both.
Advent Health Partners helps health systems and hospitals handle their denials. In the decade since our founding, we’ve sifted through millions of claims. Using a multi-faceted approach customized to the unique needs of each hospital or care provider, we’ve helped many organizations reduce denials and recover the revenue they would have otherwise lost.
This eBook utilizes our denial recovery and prevention experience to help your organization resolve the six most common denial root causes. By discussing preventative steps and a holistic view of the benefits of addressing them, we hope your organization can identify areas of potential process improvement and solutions to develop a prevention-first mindset.
Topics include:
- Addressing Common and Unique Registration and Eligibility Issues
- Preventing and Resolving Authorization Issues
- Accountability in Missing or Invalid Claim Data Situations
- The Specifics of Services-Not-Covered Issues
- Addressing Medical Coding Issues Based on the Unique Needs of a Provider
- Documentation, Medical Necessity, and Level-of-Care Denials
The Advent Health Partners Difference
Flexible Partnership
Advent flexes to needs regarding services, admission types, and volume of cases.
Industry-Leading Technology
Our team uses Apello™, Advent’s industry-leading technology, to craft quality appeals for your organization’s specific needs.
Clinical Expertise
Our dedicated team of US-based nurse reviewers have 20+ years of experience in several specialized fields.
Our Expertise in Action
Improving Denial Rates With Appeal Management & Pre-Bill Reviews
About Advent Health Partners
Advent Health Partners was founded in 2010 as an outsourced healthcare claims review vendor. As our business grew, the Advent claims review team of registered nurses, credentialed coders, and business analysts realized that the majority of their time was spent sifting through medical record documentation, trying to find decision data instead of making decisions. From there, our team began building solutions to increase review efficiencies and pinpoint process improvement opportunities for both health plans and hospitals.
Today, our mission is to share our clinical expertise, industry-leading technology, and best practices with plans, providers, and partners to accelerate appropriate reimbursement and increase review team productivity across the healthcare industry.