Don't Fight the Appeals Battle by Yourself. Let Us Help!
Conquering clinical appeals is a key component of every hospital’s strategy to recover payment for services. We can assist your facility by helping assure that you receive accurate reimbursement by identification, management, and education strategies.
A highly qualified and trained appeals nurse or physician will conduct a full analysis of your denial, write a professional appeal letter, conduct a qualify review, submit the appeal, and follow up on the status of the appeal.
- Our focused areas include Behavioral Health, Medical Surgical Cases, Oncology, Pediatrics, Rehabilitation, Telemetry, Trauma, Labor and Delivery, DRG and APR disputes, re-admission reviews and claims that have been downgraded and approved at a lower level of care
- Outpatient surgeries and procedures
- RAC (recovery audit contractor) appeals
- Specialty areas that have strict Medicare Guidelines such as Hyperbaric Oxygen Therapy
The Nevill Group can conduct a root cause analysis and make recommendations to improve your recovery and reduce your number of denials.
Our company’s focus is helping you maximize your collections revenue and prevent future claims from occurring. Denial Management can move at a fast pace, so tracking and monitoring is critical to success. We offer the best in appeals writing, along with tracking and analysis.