DENIALS MANAGEMENT

Denials can balloon into a significant source of lost revenue for healthcare providers. Use the powerful ad-hoc analysis capabilities provided by The Diver Solution™ to determine which facilities, DRG's, and physicians are most prone to payment denial and whether miscoded procedures are resulting in denied claims. Conduct trend analysis to see whether a particular payer is declining a greater percentage of claims at an accelerating pace. At the same time, compare and rank your payers by denial percentage to identify financially vulnerable payers and proactively terminate acceptance agreements.