Complex Claim Denials
Complex Claim Denials
Kemberton’s impressive team of clinicians, attorneys, paralegals, and denials analysts specialize in complex denials, turning our customer’s “non-collectible” dollars into actualized revenue. Armed to overturn Day-1, Aged, and Zero Balance Denials, we apply adept knowledge, stringent protocols, and a watchful eye to address and multi-level appeal even the most challenging denials.
Exclusively Specialized in Complex Claims Recovery - We Get Denied Claims Paid
Challenges Kemberton Solves
- Allocating resources to claims that require a higher level of critical thinking and activity to resolve – oftentimes 15 touches or more
- Leveraging successful appeal arguments for each payer across a broad spectrum of providers and coverage scenarios to find the best argument
- Gaining access to nontraditional hospital employees like experienced paralegals and attorneys
Our Complex Claims Denials Management Process
Our Complex Claims Denials Management Process
Here are typical results realized by clients who outsource their complex claim denials processing to Kemberton:
0
%+
AVERAGE COLLECTIONS OF PURSUABLE CHARGES
0
%
PAYMENT SUCCESS
Includes overturning previously unsurmountable timely filing and prior authorization denials.
