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Denials Prevention and Recovery

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Denials prevention and recovery solutions delivering nimble change and process improvements with Harmony In Concert℠

 

The rate of denials has increased over 20% in the last 5 years and more rapidly during the current public health emergency. Research also shows that approximately 85% of denials are preventable, and the percentage of recovery for all denials depends on turnaround time and the skillset of the denials recovery team.

With denial rates varying by region and ranging from approximately 6% to around 13% and with no silver bullet solution available, we must attack the problem with impactful leadership, thorough communication, the right mix of experts, and tenacity.

We’re nimble.

Our pragmatic approach allows us to plug into your process at any point.

That means we can lead, plan, and manage, or simply provide highly qualified talent to fill gaps. We guide you through your project and serve as an agent of change to affect continuous improvement.




EVALUATION


Bank on our expertise as we assemble a command of the data. Our talented resources will work with you to put the most appropriate tools into action that identify all types of denials as well as the root causes for appeals, recovery, and prevention. 



DESIGN


Expect our experts to build your program from one of three options: a decentralized or matrixed approach, a centralized approach, or a hybrid approach. In all cases, we arrive at the best structure suited to your organization while building a culture of accountability and program oversight to drive lower denial rates.



IMPLEMENTATION


Kick-off your organization’s project with our targeted talent assessment. Our experts will guide you through team selection from pilot through going live, refine processes, implement mid-stream corrections, and build and maintain awareness through communication with all stakeholders. 

Learn more about our denials prevention and recovery experts

Let our experts turn data into positive actions for your organization’s bottom line.

Candidates: Upload your resume here Organizations: Partner with us here

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