Kemberton Healthcare Services, LLC

Services

Complex insurance claims made simple.

Areas of Service

 

Denial Claims

Kemberton's experienced team of attorneys, paralegals, and denial analysts specialize in turning our clients' noncollectable dollars into revenue. Once all provider efforts are exhausted, we are a resource and a partner on denied insurance claims - lowering A/R days and maximizing reimbursement. As an advocate for both patient and provider, our years of experience and network of payor contacts bring hospitals across the country significant cash increases on a regular basis.

Our process

  • Appeal through both traditional channels and our network of payor contacts
  • Follow-up with the payor on a regular basis to expedite payment
  • Recover lost revenue by overturning denials and pended/unresolved insurance claims
  • Identify trends, systemic issues, and erroneous denials on an ongoing basis

OUR PROCESS

  • Capture available first-party benefits before they are exhausted to other providers by quickly identifying and billing the carrier, with regular follow-up
  • Coordinate health insurance benefits within timely filing and in compliance with CMS guidelines
  • Follow-up with third party insurance carriers and attorneys, filing liens where appropriate to ensure the provider's bill is included in settlement, and expedite resolution
  • Report to your specifications and notes scripting/access to Kemberton's system

Motor Vehicle Accident CLAIMS

With multiple payors, attorneys, timely filing deadlines, and CMS guidelines, we specialize in lowering A/R days on these complex and time consuming claims. Our contingency-based model has allowed our clients to achieve significant revenue increases and increased flexibility of internal resources. As an advocate for both the patient and the hospital, we have proprietary software and experienced teams dedicated to every step of our proven method.

 

OUR PROCESS

  • Bill the workers' compensation carrier along with the required documentation.
  • Follow-up with the workers' compensation carrier on a regular basis, confirming all necessary documentation was received, until the provider receives payment.
  • Coordinate health insurance benefits within timely filing limits and in compliance with CMS guidelines
  • Report to your specifications and notes scripting/access to Kemberton's system

Workers' Compensation CLAIMS

Due to the complexities and time consuming nature of workers' compensation claims, our contingency-based resolution model is an asset to our clients' revenue cycle. We have the staff and expertise required to maximize reimbursement in a timely manner. Our experienced team and proprietary software have a significant impact on our clients' bottom line on a regular basis.

Our workers' compensation staff and resources are completely dedicated to achieving resolution, and our method has proven effective to our clients.