Overview
No matter how efficient the billing system is, claims will be denied by the payers. Identifying denied claims quickly and efficiently is crucial to recovering everything due a provider. Understanding denials will ultimately allow a provider to become more efficient and improve the financial performance of the organization.DSG’s integrated Denial Management Module provides powerful tools to improve the process of ensuring your organization is recovering every dollar you are entitled to receive.
Features and Benefits
- Available for all Payers that provide electronic remits allowing for complete analysis
- Produce Reports in Summary, Detail, and Graphic formats so you can see the data in formats that meet your needs
- Export results to spreadsheets for portability
- Extensive filter options allows users to drill down to detailed financial information
- Track and assign denials to specific personnel or Denial Management Units for greater efficiency
- Direct Link to the DSG Claim from the Denial Management Screens allows staff to see how the claim was originally billed or quickly resubmit the claim for payment.
- Eliminate the need to manually review pages of remittance advices to search for denial trends
- Maximize Reimbursement
Payment Analysis
Overview
How do you know you are getting paid correctly? Can you compare your payments to specific rate tables? With the DSG Payment Analysis Module you can quickly determine if you are being paid correctly and identify areas of the chargemaster that may require review.Features and Benefits
- Extensive filter options allowing users to drill down to detailed financial information
- Import rate tables allowing you to compare payments to expected reimbursement
- Compare Billed DRG to Paid DRG to see if there are billing issues or changes made by the payer
- Analyze payments received to verify appropriate reimbursement
- Direct Link to the DSG Claim from the Payment Analysis Screens allowing staff to see how the claim was originally billed
- Eliminate the need to review pages of remittance advices to search for payment trends
- Quickly identify charge master or pricing concerns
- Maximize Reimbursement