COMPLEX DENIAL CLAIMS
Kemberton's experienced team of attorneys, paralegals, and denial analysts specialize in complex denials and claims denials management, turning our clients' non-collectible dollars into revenue. Once all provider efforts are exhausted, we are a revenue cycle outsourcing resource and a partner on insurance claims denials management, lowering A/R days and maximizing reimbursement. As an advocate for both patients and providers, our years of experience and network of payer contacts bring hospitals across the country significant cash increases on a regular basis.

 

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Our Complex Claims Denials Management Process

  • Appeal through both traditional channels and our network of payer contacts
  • Follow-up with the payer on a regular basis to expedite payment
  • Recover lost revenue by overturning denials and pended/unresolved insurance claims
  • Identify and report on trends, systemic issues, and erroneous denials on an ongoing basis

OUR RESULTS

Here are typical results realized by clients who have chosen to outsource revenue cycle management and denied claims processing or have moved from a generic business process outsourcing partner to Kemberton for denials management: 

 

 

30%+

 of appealed and written-off

claims received payments
 

 

 

35%+

Average collections

of gross charges

 

 

30% of payment success includes overturning previously unsurmountable timely filing and prior authorization denial

 

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HOW MUCH CASH CAN KEMBERTON PUT BACK IN YOUR POCKET?

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Benefits

    • Increased cash flow
    • Improved cash recovery
    • Reduced days outstanding in accounts receivables
    • Improved efficiency through the reallocation of your staff to less time-consuming and higher-yielding payers
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Kemberton in the News

Changing the way lost revenue is found

Kemberton sat down with Healthcare Finance News and discussed how the Kemberton difference is helping hospitals collect on previously uncollectible claims, generating millions of dollars that would otherwise be lost.

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4 ways hospitals can lower claim denial rates

Kemberton discusses how hospitals can lower claim denial rates. Read these 4 tips to learn how you too can improve revenue cycle performance by lowering claim denial rates.

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Contact one of our denied claims experts today.

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