DENIALS
Revenue Leakage and Administrative Burden
The Undeniable Truth
The landscape of hospital revenue management has been shifting under our feet. Payer denials strategies require constant vigilance and innovation to ensure the financial health needed to focus on patient care. CorroHealth is your partner in navigating these complexities, transforming administrative burdens into financial success and operational efficiency.
Strategic Approach
Our approach combines cutting-edge technology with comprehensive training and partnership development to tackle payer denials head-on.
Data, Analytics and Technology
Advanced Data Analytics
We use advanced predictive models to identify patterns that could lead to denials, allowing us to advise on preemptive adjustments.
The Big Idea
Imagine not just reacting to denials, but proactively managing and minimizing them. At CorroHealth, we specialize in reducing and preventing payer denials. Through innovative strategies and deep industry expertise, we ensure that healthcare providers can navigate the complexities of insurance claims, minimize financial losses, and maintain focus on patient care.
Prevention and Partnership
Denials Prevention
Leveraging national data, cohort analysis, proprietary KPIs, and AI, we identify patterns and potential denials triggers before they become an issue. Denials can stem from various areas within your clinical revenue cycle, including Utilization Management, Clinical Documentation,
and Coding. Our programmatic solution enhances your ability to prevent denials through improved upstream revenue cycle processes.
Tailored Workshops and Training
Provide targeted training sessions for healthcare staff on payer requirements and billing practices to reduce errors and improve compliance.
Dedicated Partner
Specializing exclusively in the revenue cycle, we bring over 300 experienced clinicians who not only understand your challenges and frustrations but have also directly contributed to the development of our technological solutions. Our hands-on expertise ensures that everything we do is tailored to meet your unique needs, making your success our singular focus every day.
A Partner That Delivers Results.
$5.7 billion in Fact.
At CorroHealth, we specialize in turning operational challenges into substantial financial achievements for our hospital partners. Our strategies streamline administrative tasks, allowing healthcare providers to focus on their paramount concern—patient care. To date, we have successfully and compliantly secured over $5.7 billion in rightful reimbursements, enhancing the financial health of our partners.
Denials and CDI Connection
Continuous Improvement
We regularly update our strategies and technologies to stay ahead of industry changes and enhance our services. Our team offers ongoing support to help your hospital adapt to the evolving healthcare environment, ensuring lasting success.
Why Payer Denials are the Crucial Battleground
Every year, healthcare providers face billions of dollars in losses due to payer denials. These denials strain financial resources and divert attention from patient care. The reasons are multifaceted, stemming from intricate payer policies, coding errors, and ever-changing regulatory requirements.
CDI
CDI – First Line of Defense
Compliantly Maximize Reimbursement, Safeguarding Against Payer Denials
Clinically informed algorithms power our intelligent technology, blending CDI strategy and DRG methodology for efficient, automated case selection and expert-led reviews.
Technology and Opportunity
Discover The Power of AI in Clinical Documentation Integrity
VISION Clinical Validation Technology™ is powered by state-of-the-art technology developed to instantly select, score, and prioritize clinical cases to improve DRG-Integrity, giving healthcare organizations a 4x to 10x revenue lift.
Redefine CDI with Fast, Scalable, Clinically Informed Intelligent Automation
Set a new standard in CDI. VISION is a powerful DRG-focused intelligence platform developed to accelerate pre-bill case reviews, uncover revenue potential, and optimize resources.
Gain Crystal-Clear Insight into DRG Opportunities
Empower CDI and HIM teams to improve DRG accuracy and revenue opportunities, achieving remarkable clinical revenue cycle results in as little as 30 days.
Smart Scoring for Precise Clinical Documentation
The strength of VISION stems from its intelligent scoring engine, a blend of clinical expertise, advanced data analytics, and the latest medical coding guidelines. This engine evolves with ongoing reviews, client input, and regulatory shifts, tailoring its performance to each hospital’s unique environment. Ensure the integrity of all your clinical cases with 100% automation.
Clinical and Provider Education
Streamline CDI with VISION
Enhance and streamline case reviews through a tailored solution that leverages the synergy of intelligent technology and clinical expertise. This approach allows for a focused analysis of specific details, enhancing revenue through rationale stated below:
Case Characteristic Comparison
Diagnosis & Charge Detail
Hospital, Physician, and Coder Propensity
Sequencing
Empower Clinical Teams with VISION
VISION, developed for CDI, HIM, and coding teams, improves DRG accuracy and tackles key challenges in revenue cycle management, including revenue, resource use and staffing. With VISION, empower your teams to:
Optimize DRG and revenue integrity
Efficiently utilize resources through automated processes
Accurately capture the complexities of patient care
Maximize charge capture for compliant reimbursement
Finally, A Solution that Checks All the Boxes
Empower your team to achieve unparalleled success with VISION and expert-led CDI solutions from CorroHealth.
Comprehensive Service
Our benchmarking transcends expectations, meticulously comparing hospital cohort averages to uncover hidden CDI and coding opportunities in primary and secondary diagnoses—this relentless pursuit of accuracy results in greater compliant reimbursement.
Guided Support
CorroHealth physician-led case reviews supplement your internal team reviews to optimize performance and complement efforts.
Team Enablement
Your high-performing team leverages VISION to improve case selection for review.
