Claim WRX

Coding/Modifiers/DRG Validation/APC Validation: Let us Customize this space for you! You likely know your coding “pain points” all too well. That is the space we want to occupy, the tough stuff. Using your encoder or ours, we will assess and customize a series of reports, develop a workflow, and apply our focus in this order RECOVER your hard-earned dollars CAPTURE the “story” of the denial for later aggregation to uncover the “Root Cause.”

Clinical Appeals, Readmissions, Medical Decision Denial: Interpretive medical decision appeals” is a tricky business. Forget about the multiple degrees and certifications needed, It also requires: “Real” bedside experience. Flexible thinking and decision-making. A comprehensive understanding of the revenue cycle, especially the denial processes in the revenue cycle. A “fight for the dollars” mentality with the professional decorum to produce a phenomenal winning legal document.

Claim Review or Audits: Easily manage audits from the Letter of Intent to Line-Item Claim Review/Audit (LOI) through adjudication Web-based NO IT INTEGRATION REQUIRED