Eliminate Denials and Rejections. Get paid faster & accurately.
Do you know 30% of your claims get rejected and/or denied?
Every practitioner knows claim rejections and denials can be tricky & complicated. That’s why it is critical that your claims are submitted clean the very first time. Claim denials can simply disrupt your cashflow. Efficient denial management is the key to effective revenue cycle management.
OmniMD RCM is a tool that provides details about every rejection and denial thereby allowing you to address the root cause of your denials and bring down the denial rate. Billers can easily broadly classify and flag denials that require review and efficiently resolve denials and resubmit insurance claims.
Before a claim is channelized into the payer adjudication system, the claim goes through a multistep validation process. With OmniMD RCM at each step, the rejected and denied claims are automatically categorized and put into separate buckets based on clearinghouse and payer status reports, so you don’t have to necessarily login into clearinghouse or payer portals to verify the status every time.
Supported EDI Standards
‘Clearinghouse Rejected’ and ‘No Clearinghouse Response’ Claims
‘Payer Rejected’ and ‘No Payer Response’ Claims
Accounts Receivable Manager (A/R Management)
Aging Buckets—All vs Mine, Classification of Aging Tiers
Timely Filing and Appeal Filing Notifications
Script Manager
Appeal and Collection Letters
Appeal and Collection Letters
Prevent denials with embedded and user-configured claim validation engine
Real-time claim submission status
Hot links to identify your lost claims
Hot links to identify your no response claims
Hot links to identify your rejected and denied/unpaid claims
Create transparent to-do lists allowing users to quickly identify claims needing attention
Track claim history
Script Manager to create automated work queues.
Robust reporting to provide insight into your rejections and denials to proactively respond and prevent future denials.
Billing Dashboard showing payer denial trends
Billing Dashboard showing payment velocity
Schedule a free demo and walk through the creation of solution from start to finish.
Learn More About Our Solutions
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