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DENIALS PREVENTION & MANAGEMENT
Denials are inevitable. Claims can take years to resolve, and they’re even more challenging if you’re on your own. TMC’s Denial Prevention & Management services are included in our partnerships. We’re committed as your advocate, and we’re ready to get your claims reimbursed.
All of our Denial Prevention Specialists are therapists who specialize in writing therapy appeal letters. Three of our specialists are also Certified Risk Adjustment Coders (CRC). Risk adjustment is a method used to calculate healthcare costs and outcomes based on the health status and risk factors of individuals. It is often utilized in various healthcare settings, including long-term care facilities, to ensure accurate reimbursement and appropriate allocation of resources.
WHY IT MATTERS
PREVENTION & RESOLUTION
Our denials team utilizes a hands-on approach in denials, which includes gathering therapy and nursing documentation, writing the appeals and submitting the ADR/denial packets to the requesting party. Our denials team can save you 11 hours per claim by processing your therapy denials.
This effort saves our customers an average of $1,250 on top of their entitled reimbursement.
REIMBURSEMENT MEANS REVENUE
95%. That number represents the success our Denials team boasts in overall denial turnover rate among those using our complete suite of services when compared to customers who try and tackle claims in-house.
WHAT OUR PARNTERS ARE SAYING
TMC is a well-organized company that seems to have its patients and clients at the forefront. I really appreciate the TMC updates about what’s going on in the world of CMS. The staff here is fantastic. They go above and beyond for the residents under their care. They are friendly and courteous as well as professional when dealing with them and their families. We work well together coordinating care that is geared to the resident’s optimal level of rehabilitation. Thank you!
Christina, LPN, MNCM