Medical billing in the U.S. healthcare system is an incredibly complex process. It’s no wonder so many errors are made. And when you get a claim denial, it doesn’t arrive with an explanation. Unfortunately, there are no explanations of denial (EOD).
Was it a coding mistake? A compensability issue? Was the patient in the right status before discharge? All you know is that you’re not getting paid and you don’t have the resources or bandwidth to figure out what is happening.
At EnableComp, our process is powered by our AI platform, E360 RCM™. But we go even further. To effectively diagnose and prevent clinical and coding issues, you need a human touch.
Our RevPro™ Team is made up of nurses and certified coders with extensive experience and expertise in the revenue cycle on both the payer and provider side. We do the research and make recommendations, so you get paid for the work you do.
As an EnableComp client, our RevPro™ Team works for you at no additional cost.
Take Control of Lost Revenue With a Partner Who Knows How to Find It.
Schedule a ConsultationClinical Review
Our in-house team of nurses and clinical leaders not only have extensive backgrounds working in hospitals, but are also experts in the full revenue cycle. They review your claims and associated documents as well as the payer denial or EOB and provide acceptable responses along with recommended next steps.
Coding Review
Every coder on the RevPro™ Team is certified by either American Association of Professional Coders (AAPC) or American Health Information Association (AHIMA). They are experts in CPT and HCPCS codes for medical procedures and services as well as ICD codes for medical diagnoses. They dig into the coding issue, identify the problem, and provide recommendations, so your claims are consistently clean and accurate.
