Kemberton's experienced team of attorneys, paralegals, and denial analysts specialize in complex denials and claims denials management, turning our clients' non-collectible 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.
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
Here are typical results realized by clients who have chosen to outsource revenue cycle management and denied claims processing or have moved from a generic business process outsourcing partner to Kemberton for denials management:
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 uncollectible claims, generating millions of dollars that would otherwise be lost.
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.
