ICD-10-CM & CPT Coding
Precise diagnosis and procedure coding for clean claims
50% Reduction in AR Days
90% Recovery of Outstanding Claims
30%+ Increase in Collections
How OneMed Ensures Maximum Reimbursement & Faster Denial Resolution
HCPCS Level II Coding
Accurate coding for supplies, medications, and services
HCC & Risk Adjustment Coding
Enhancing documentation for value-based care
ICD-10-CM & CPT Coding
Expertise in oncology, orthotics & prosthetics, and other specialties.
Step-by-Step Denial Recovery 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%.
Why Leading Healthcare Organizations Rely on OneMed Billing for Denial Management
Faster Reimbursements
Avoid payment delays caused by credentialing issues.
Higher Revenue Retention
Minimize claim denials and revenue loss.
Lower Administrative Costs
Reduce staff burden and free up internal resources.
More In-Network Opportunities
Expand patient access with broader payer enrollments.
