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Efficient and Effective Denials Management

Exela’s denied claims handling system optimizes your chances at reimbursement.

Medical claims denials are a frustrating reality for healthcare organizations. They slow down reimbursement, lead to revenue leakage, and require valuable effort that could be better directed toward providing exceptional patient care.

Exela has developed a comprehensive denials management system that streamlines every step in the process, from intake to appeals, to trend identification - all to maximize operational efficiencies and optimize reimbursements.

24%

Reduction in Denials and Rejections

Cash

Acceleration

Level

of effort reduction on downstream tasks

Reduced

Turn around Times

INTUITIVE CATEGORIZATION FOR STREAMLINED ACTION

Intuitive Categorization for Streamlined Action

Accurate automated classification of denials based on the reason and remark codes. Batch claims to take immediate action on claims with similar issues.

INSIGHTFUL REPORTING FOR CONTINUOUS IMPROVEMENT

Insightful Reporting for Continuous Improvement

Analyze denials by payer, provider, claim category, claim type, and a variety of other metrics to identify trends, inform decisions and empower strategic process improvement.

CONVENIENT AND EFFECTIVE APPEALS TEMPLATES

Convenient and Effective Appeals Templates

Increase the chance of recovery while speeding up the appeals process with configurable inbuilt appeals letter templates.

OPTIMIZE REIMBURSEMENTS

Optimize Reimbursements

Denials Management is one part of a robust approach to Revenue Integrity that not only identifies claims that need to be resubmitted and/or appealed, but also uses root cause analysis to proactively prevent future underpayments

AUTOMATED ROUTING

Automated Routing

Leverage advanced digitization tools and smart systems powered by AI and machine learning to automatically classify claims, extract data, and route of claims for patient/third party collection & submission of claims to the right payer/secondary payer.