measurable results
Turning Denials Into Revenue
We Never Give Up When Our Clients Tell Us That . . .
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Service wasn’t medically necessary
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Patient could have been discharged sooner
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Service wasn’t previously authorized
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Patient could have been treated at a lower level of care
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Treatment is experimental
While every hospital and health system is unique, we often see organizations struggling with clinical denials in excess of 5% of their total claims. We’re talking about millions of dollars of lost revenue.
Advicare specializes in overturning claims that are denied for medical or clinical reasons, and our results make a powerful, positive impact on the financial health of our clients’ organizations. Our clients:
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Enjoy multi-million dollar increases in revenue.
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Write off fewer claims
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Show less bad debt on their balance sheets
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See favorable trends toward fewer denied claims based on implementation of prevention processes
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Relieve their own clinicians from administrative burdens so they can focus on patient care
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Use valuable staff time for core revenue cycle functions rather than appealing cases outside of their expertise