Our Accounts Receivable and Denial Management gets you paid faster.
We manage every claim and track every denial ensuring your payments land on-time.
RCM Services - Accounts Receivable and Denial Management.
Discover what our Accounts Receivable and Denial Management services can do to strengthen your practice’s performance.
Recover lost income and improve your practice’s cash flow.
Resolve Accounts Faster
Clean claims on 1st submission
Daily charge submission
Rejection resolved within 24 hours
Improve Cash Flow
Decrease avoidable denials
Strong appeal process
Knowledge of unique payer requirements
Recover Lost Income
Root cause analysis of denials
Missed coding opportunities
Charge reconciliation
Improving bottom-line results.
Trusted by hundreds of clients since 1997.
Our Accounts Receivable & Denial Management services speed up cash collections.
Increase cash flow and recover lost income.
Pinnacle Healthcare Revenue Solutions’ Accounts Receivable and Denial Management services provide claims management, collect revenue, track and manage denials, prepares appeal documentation, and coordinates the appeals process. Recover lost revenue using a system specifically designed to get a claim paid and avoid similar issues going forward with other patient claims.
Claims Management.
Monitor all angles of the claim process including charges, payments, contractual adjustments, write offs, and bad debt adjustments. Fix problems with process improvements and training for staff and providers.
All source documents are securely scanned and maintained in a network repository for source documents.
We funnel patient accounts into expert work queues to maximize payment resolution.
Denial Management.
Address underpayments, manage the denial process and handle appeals, and coordinate appeals process.
Follow-up on every claim.
Daily denial - root cause analysis for issues and modify processes to prevent future lapses in payment.
Appeals Management provides expertise in analyzing payer adjustment codes from remittance advice, including case management and utilization review, to facilitate successful appeal of denied claims.
Quickly resolve underpayments related to interpretations of contract, policy, or documentation.
Collections.
Focus on collection at the time of service. Increase cash flow and reduce statement cost.
No financial threshold for account follow-up.
Self-pay collections and insurance follow-up.
Get Started today.
Let’s have a conversation about your revenue cycle and see how we can help grow your practice.
See where our RCM services will have an impact on your practice.
Accelerate your success.
A partnership with Pinnacle Healthcare Revenue Solutions can take many forms. It may be full-service Revenue Cycle Management, or it could be a stand-alone option for a specific revenue cycle function to augment your current operations. We provide the right resource at the right time - throughout the lifespan of your practice. Let our team of experts build a solution that fits your goals and delivers results.
Provider Credentialing
We specialize in coordinating the credentials for physicians and other healthcare providers in your practice. Ensuring quick and complete enrollment and faster reimbursement for services.
Healthcare Analytics
A reporting suite is outlined based on your practice’s objectives. Basic industry-recognized KPIs, partner, and provider performance reports, dashboards, and other time-critical reports to effectively manage.
Medical Billing/Coding
Our specialists improve reimbursement time and total value through processes such as fee schedule reviews, managed care contract pricing, review the chart for accuracy, accurate charge capture, and filing claims.
Practice Management
We align your practice goals with successful business strategies like financial performance reviews, determine issues based on KPIs, revenue diversification, bench-marking, and optimization of workflows.