Denials are a huge obstacle for complete and timely reimbursement. On an average, nearly 90% of denials can be prevented. Two-thirds of denials can be appealed and recovered with a robust platform such as Hoap Health’s Denial Prevention System (DPS).
DPS is a comprehensive cloud based platform that process all electronic remits (including 835 EDI format), separating Reason (CARC) and Remark (RARC) codes, and groups denials into denial categories for analysis and appeal. An 835 remit file could be a treasure trove of information if only one knows how to interpret it.
Hoap Health’s Denial Prevention System provides a robust platform backed by seasoned experts to define and implement a holistic, organization wide denial prevention strategy that is at the intersection of financial & clinical factors and dramatically prevents denials.