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Denial Management

An advanced system for tracking, controlling and preventing denied claims

"The CFO likes the fact that this is a direct hit to the bottom line of the medical center.  These denials represent dollars we haven't collected in the past, and the $3.9 million we've seen during the first nine months validates our decision to use CareMedic." 

--George DerBedrosian
Alta Bates Summit Medical Center


Providers receive denial information from multiple sources and in multiple formats, and without the proper automation to streamline processes and organize data, risk losing millions of dollars each year. CareMedic's Denial Management application aggregates denial data from multiple sources and allows you to map the hundreds of denial reasons into a smaller set of denial types for more efficient management. Its integrated workflow tool eliminates manual processes, driving denials to the proper area/department for resolution. Its extensive denial reporting helps you pinpoint problem areas and root causes, allowing you to implement changes that can reduce future denials.

  • Eliminates "black holes"
  • Increases efficiency by automating workflow
  • Allows individual and departmental productivity monitoring
  • Increases revenue
  • Reduces write-offs
  • Provides powerful ad-hoc reporting with patient-level drill-down


It's all in the network

The electronic Financial Record
Intelligent workflow
Document Management

For more information, contact us via the Web or call us at 1-800-508-8494.


Denied claims can cost the average organization as much as 3 percent of patient revenues each year--”which translates to millions of dollars of avoidable write-offs.
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