NHR National Healthcare Review

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Appeals & Denials

Payor denials are a growing problem for hospitals.

Maintaining a smooth revenue stream involves implementing timely appeal processes that can rapidly turn your denied claims into cash. At NHR, we realize standard form letters don’t get the job done. Our knowledgeable billing professionals overturn payor denials 90% of the time.

Our proven success rate in appealing denied claims speaks volumes - we have the knowledge to focus on the details.

Our Services

The breadth of experience and diverse backgrounds of our professional staff affords us the opportunity to offer a wide range of clinical-financial auditing solutions that include:

Charge Capture Reviews

Charge Description Master Reviews

Insurance Defense Audits

Coding Services

RAC Defense & Education Program

Appeals & Denials

Managed Care Contracting

Managed Care Reviews

Review of client appeal guidelines
Preparation of appeal letters focused on case-specific facts for medical and administrative denials
Continuous and persistent payor follow-up
Status reports of denials
Processes are HIPAA and Regulatory compliant

At NHR, our years of experience have shown our clients what can be successfully appealed. Our professional staff formulates appeals based on claim-specific data, has the medical expertise to defend the appeal at every step of the process, and follows up on a consistent basis.

For more information, contact us: info@nhri.com