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Reconciliation & Reporting

IKS supports end-of-procedure requirements for healthcare service providers, with a full range of accounting and claims management services. Our experts understand how insurance payers review payment claims, and bring deep experience in negotiations, information support, and patiently working on each claim to a successful completion. Our services include:

The IKS Denial Management services helps clients navigate the complex and time-consuming claims denials from payers. Our skilled team provides deep analysis and insight into every denial a client receives. We then work on two strategies:

  • The first strategy is to determine what we can correct internally in the overall Revenue Cycle Management process to prevent such denials in the future. This solution may come at any point in the revenue cycle.
  • The second strategy is to determine the most effective and efficient way to overturn the denial and receive payment for the provider's services.

The Denial Management team works closely with the payer and provider to resolve these issues. We also will frequently re-engineer the processes internally and at the providers' offices, so we stay ahead of the denial process.

Even as we file appeals, submit medical records to justify medical necessity, and track the outcomes of the denial instance, we learn from the process to re-tool our internal processes to create effective denial prevention strategies. Additionally the team is able to resolve denials at lower administration costs.

Benefits

  • Faster turnaround on denials
  • Denial prevention strategies
  • Increased collections