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Unlike other solutions, the Denial Management Tool Kit provides the information needed to manage your complete claims process from data collection and claims submission to responding to claims inquiries and managing denials in a timely manner. This unique resource seamlessly takes you from the paper-based world of professional claims to submitting HIPAA-compliant 837 professional claims.

• Establish and maintain an effective denial management process. Step-by-step guidance and templates assist with tracking and communicating.
• Prevent claim denials and ensure timely third-party payer processing. Contains useful tips on completing your claims efficiently and more accurately.
• Quickly respond to payer inquiries and take the necessary corrective action. Remittance Advice Remark code crosswalk and action alerts are included.
• Simplify your transition to electronic claim submission. CMS-1500 to 837p crosswalk.
• Understand what Medicare will cover when Medicare is the secondary payer. Comprehensive guidance to determining primary and secondary Payer.
• Stay current with changes. Updates sent throughout the year.
• Print templates to help improve your appeals process. Includes searchable CD providing easy access to printable templates.

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