Complex Denials

Complex Denials

Kemberton’s experienced team of attorneys, clinical nurses, paralegals, and denials analysts specialize in complex claims denials, turning our clients’ non-collectible dollars into cash. Once the provider’s efforts to overturn denied claims are exhausted, we seamlessly take over the process and get to work. By leveraging our years of experience and network of payer contacts, we deliver significant cash increases to providers across the country by getting denied claims paid.

Challenges Kemberton Solves

Our Complex Claims Denials Management Process

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Step 1 – Appeal Denials

Appeal through both traditional channels and our network of payer contacts.

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Step 2 – Leverage Legal

Leverage clinical nurses, attorneys and legal arguments when necessary to overcome a denial’s reason.

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Step 3 – Recover Revenue

Recover lost revenue by overturning denials and pended/unresolved insurance claims.

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Step 4 – Report Trends

Identify and report on trends, systemic issues, and erroneous denials on an ongoing basis.

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.

Call us at 877.540.0749 or submit the form below

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