We manage denials management processes and go a step further by offering valuable guidance on preventative measures.
McBee identifies the root causes of denied claims that are eligible for an appeal process, craft compelling appeal letters, and aggressively pursue payment on those that are overturned. Our denial management experts then provide recommendations and report on trends to improve documentation processes, enabling the implementation of operational improvements that can reduce the overall number of claim denials in the long term.
With a proven track record of improving cash flow and profit, we successfully appeal to thousands of preventable denial cases each year and partner with some of the largest health systems in the country.
McBee supports our DRG downgrade denials and appeals management. Their approach has been extremely comprehensive and successful. They craft compelling and thorough appeals. This has resulted in an impressive overturn rate for our enterprise. In addition, they deliver significant and insightful data on every case they review. As such, we utilize that data to modify operations to minimize future denials.
The McBee Advantage
When you partner with McBee, you are partnering with a firm that has the capacity to handle the high volume of denials and help address lost revenue that can accrue at year-end and during regulatory audits. Our proprietary data analytics track documentation trends to identify areas to improve and create the basis for our tailored educational sessions. Our revenue cycle management services provide a comparative analysis of your claims and payment data, leading to valuable insight on the correlation between clinical documentation and denied claims.
Key metrics to categorize reasons for high denial rates and quantify the financial impact
- Evidenced-based industry criteria cited to develop the most persuasive appeal letters
Registered nurses and physician assistants with deep experience in patient care
Our staff has an average of more than 20 years of experience in diverse specialty areas