The Emdeon Denial Manager solution allows providers to organize and manage remittance inventory; helps staff arrange, prioritize and monitor denials and underpayments; and allows the accurate reporting and viewing of the denied and adjusted amounts. With the information produced by Emdeon Denial Manager, providers streamline the denial management process by determining root causes, patterns and process breakdowns responsible for denials, and establishing corrective steps to prevent future revenue loss or delay.
Increase Effectiveness
While Emdeon Denial Manager is a highly effective, stand-alone product, it is truly powerful when coupled with the Emdeon Claim Master and Emdeon Payment Manager applications. Emdeon Claim Master is Emdeon's premier claims management solution. Once Emdeon Denial Manager identifies claims requiring adjustments and these corrections are completed, Emdeon Claim Master can quickly adjust and resubmit the revised claims. Emdeon Payment Manager then allows providers to have online visibility of remittance data and facilitate the electronic transfer of funds from the largest payer network in the industry.
The analytical strengths of Emdeon Denial Manager are found in user-defined work queues designed to improve workflow. Once created, these can be assigned to users whose knowledge and expertise best fit the queue. Tasks can be easily reassigned as needed, and remittances can be designated as Open or Closed to facilitate work assignments. To ensure tasks are completed in the necessary timeframes, users can create reminders and alerts to notify them of impending deadlines. For conducting research and analysis, users are provided access to an ERA historical database warehouse where previous ERA information can be viewed and searched. |
