Upto 35% Reduced Referral Denials

Faster Reprocessing of Rejected Claims

Real-Time Denial Insights & Reporting

Rejection ManagementServices for Healthcare Providers

Aging accounts receivable (AR) is a silent revenue killer for healthcare organizations. Unpaid claims, delayed reimbursements, and mounting denials can severely impact your cash flow and profitability. OneMed Billing ensures you recover outstanding payments efficiently-without adding burden to your internal staff.

How Our Rejection Management Works

Real-Time Rejection Detection

Monitor rejections in real time via clearinghouse or payer portals.

Root Cause Review

Audit each claim against payer-specific requirements.

Error Correction

Fix errors in demographic data, CPT/ICD codes, modifiers, or missing documentation.

Resubmission & Appeals

Resubmit corrected claims or initiate appeals as per payer protocols.

Don’t Let Rejections Drain Your Revenue

Precision Denial Analysis

Aggressive Denial Recovery

Aggressive Denial Recovery

Procative Payer Follow-ups

Procative Payer Follow-ups

Comprehensive Root Cause Reporting

Comprehensive Root Cause Reporting

Comprehensive Payer Reporting

Comprehensive Payer Reporting

Custom Denial Denial Insights & Reporting

Custom Denial Denial Insights & Reporting

How Our Rejection Management Works

1

Rejection Identification

Monitor rejections in real time via clearinghouse or payer portals.
Capture denial codes and rejection reasons for every claim

2

Root Cause Review

Audit each claim against payer-specific requirements.
Identify trends across coding, eligibility, and documentation errors.

3

Error Correction

Fix errors in demographic data, CPT/ICD codes, modifiers, or missing documentation.
Collaborate with providers for clinical clarification if needed.

4

Resubmission & Appeals

Resubmit corrected claims or initiate appeals as per payer protocols.
Ensure accuracy to avoid further rejections or denials

5

Reporting & Prevention

Deliver actionable reports and insights to reduce rejection rates.
Implement feedback loops to improve front-end accuracy.

OneMed’s Edge in Rejection Management

Step 1: Claims Recovery Specialists

A team dedicated to maximizing recovery from rejected claims and minimizing write-offs.

Step 2: Faster Reimbursements

Timely corrections and resubmissions that accelerate your revenue cycle.

Step 3: Denial Pattern Intelligence

Denial Pattern Intelligence

Step 4: Faster Reimbursements

Timely corrections and resubmissions that accelerate your revenue cycle.

Step-by-Step Rejection Management Process

Step 1: Identifying & Categorizing Denials

99% Accurate Denial Classification - Every denied claim is reviewed and categorized for precise resolution
Rapid Denial Identification - Claims are flagged and addressed within 24-48 hours to prevent revenue delays.

Step 2: Root Cause Analysis & Process Improvement

40% Reduction in Coding-Related Denials – We analyze payer-specific denial patterns to eliminate recurring errors.
Process Optimization – Workflow improvements that prevent future denials and improve first-pass claim acceptance rates./li>

Step 3: Denial Correction & Claim Resubmission

98% Resubmission Success Rate - Errors are corrected, missing documentation is obtained, and claims are resubmitted accurately.
Fast-Track Resubmission – Claims are resubmitted within 5-7 business days for quicker reimbursements.

Step 4: Appeals & Payer Follow-Ups

3X Faster Appeal Resolutions – Direct engagement with payers to expedite approvals.
80%+ Appeal Success Rate – Strong justifications and compliance-driven appeal filings increase approval chances.

Step 5: Ongoing Monitoring & Reporting

Real-Time Denial Tracking – Continuous monitoring ensures every denial is addressed promptly.
Custom Reports & Insights – Actionable data on denial trends, payer responses, and cash flow improvements.

Step 6: Preventing Future Denials

20% Reduction in Future Denials – Training staff on compliance and documentation best practices.
Preemptive Claim Reviews – Identifying issues before submission to increase first-pass approval rates by 30%.

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