COMPLEX DENIAL CLAIMS
Kemberton's experienced team of attorneys, paralegals, and denial analysts specialize in complex denials, turning our clients' non-collectible dollars into cash. Once all provider efforts are exhausted, we are a revenue cycle outsourcing resource and partner on insurance claims denials leveraging our years of experience and network of payer contacts to bring hospitals across the country significant cash increases on a regular basis.
Our Complex Claims Denials Management Process
- Appeal through both traditional channels and our network of payer contacts
- Follow-up with the payer on a regular basis to expedite payment
- Recover lost revenue by overturning denials and pended/unresolved insurance claims
- Identify and report on trends, systemic issues, and erroneous denials on an ongoing basis
Here are typical results realized by clients who have chosen to outsource their complex denied claims processing or have moved from a generic revenue cycle management outsourcing partner to Kemberton for specialized denials management:
of PREVIOUSLY appealed and written-off claims
of gross charges
payment success includes overturning previously unsurmountable timely filing and prior authorization denial
Increased cash flow
Improved cash recovery
Reduced days outstanding in accounts receivables
Improved efficiency through the reallocation of your staff to less time-consuming and higher-yielding payers
Kemberton in the News
Changing the way lost revenue is found
Kemberton sat down with Healthcare Finance News and discussed how the Kemberton difference is helping hospitals collect on previously uncollectible claims, generating millions of dollars that would otherwise be lost.
4 ways hospitals can lower claim denial rates
Kemberton discusses how hospitals can lower claim denial rates. Read these 4 tips to learn how you too can improve revenue cycle performance by lowering claim denial rates.