Complex Denials and Claims Denials Management

Kemberton's experienced team of attorneys, paralegals, and denial analysts specialize in complex denials and claims denials management, turning our clients' non-collectable dollars into revenue. Once all provider efforts are exhausted, we are a revenue cycle outsourcing resource and a partner on insurance claims denials management, lowering A/R days and maximizing reimbursement. As an advocate for both patients and providers, our years of experience and network of payer contacts bring hospitals across the country significant cash increases on a regular basis.

 

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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

Our Claims Denials Management Results

30%+

of appealed and written off claims received payments

35%+

average collections of gross charges

30%

of payment success includes overturning previously unsurmountable timely filing and prior authorization denial

 

Get every dollar you deserve… You earned it

The Kemberton difference

Changing the way lost revenue is found

Kemberton sat down with Healthcare Finance News and discussed how the Kemberton's claim denials management expertise is helping hospitals collect on previously uncollectable claims, generating millions of dollars that would otherwise be lost.

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4 ways hospitals can lower claim denial rates

Kemberton’s President, Brandon Rife, 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.

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