VERACITY™ DenialMaster identifies all denials, then organizes and oversees your appeal tasks and assignments required to come to full claim dispute resolution. VERACITY™’s workflow foundation minimizes the time required to submit appeals and follow through on appeal processes. This leads to quicker turnaround, eliminates oversight on timeframes, improves staff productivity and ultimately gets you paid more of what you are owed faster.
Cases flow between departments in real-time, ensuring that actionable items are completed with measurable accountability for each step in the process. Escalation features automatically route upheld appeals to the next level of action. The appeal response is pre-defined and managed in detail.
Revenue and compliance management tools centrally manage timeframes, points of contact, and links to clinical guidelines, NCDs and LCDs, and other critical business-related content. All information is readily available and integrates directly into each appealed case.
Key Benefits:
- Pre-defined and adaptable appeal workflows
- Timeframe management
- Auto-Appeal escalation
- File attachments
- Document templates
- Administrator-defined case and task views
- Multi-level security for cases and workflow tasks